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Gdheh
RECOMMENDATION FORM SECTION 1: APPLICANT INFORMATION (to be filled out by applicant) Name of Applicant: __________________________________________________________________________________________________ Last (Family) Name First (Given) Name Middle Name

Instrument: ___________________________________________________________________________________  Male  Female Graduate pianists: Please specify solo or collaborative study. Program: Undergraduate:  BM Major:  Performance  Composition Graduate:  MM  PPC Major:  Performance  Composition In accordance with the provisions of the Family Education Rights and Privacy Act (FERPA), you may have access to the information provided in letters of recommendation unless you waive the right of future access to these letters. By waiving this right, you enable your reference to provide Lynn University with a candid assessment of you and your abilities. Please check the appropriate box below:  Confidential – I waive my right of review.  Non‐confidential – I retain my right of review. Signature: _________________________________________________________________________ Date: ____________________________ SECTION 2: REFERENCE INFORMATION (to be filled out by reference) Name of reference: __________________________________________________________________________________________________ Title/Position: _________________________________________ Institution: ________________________________________________ Address: ______________________________________________________________________________________________________________ Street City State Zip

Phone Number: _________________________________________EMAIL: ____________________________________________________ In what capacity do you know the applicant? _____________________________________________________________________

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