Name of applicant
I am applying for admission to the Department of
at Carnegie Mellon University.
Name of person providing this recommendation
begins in January;
is October 15.
How long have you known the applicant and in what capacity?
In making this evaluation, what group are you using as a basis for comparison?
begins in mid-August;
is January 15.
(January 15 for ECE)
Recommendation for Admission to Graduate Study
Last name (family name/surname)
Firs t name
Family Education Rights and Private Rights Act of 1974 (FERPA)
Under the provisions of this act you have the right, if you enroll at Carnegie Mellon, to review your educational records. The act further provides that you may
waive your right to see recommendations for admission. Please indicate below, by circling the appropriate phrase and signing your name, whether or not you wish
to waive this right.
do not waive
any right of access that I may have to this Recommendation Form.
This section to be completed by the applicant
Note: If possible, this form should be returned by the applicant with all other application materials. It may also be mailed by the
respondent. In either case, the respondent should sign over the sealed envelope flap.
This section to be completed by the respondent
Please rank the student, as well as you can, along the listed dimensions. (Note that the scale is nonlinear.) Feel free to check “Insufficient Informa-
tion” if you cannot make a judgment.
Motivation and initiative
English communication skills
Overall potential for graduate study
Please fill out the following information and/or write a letter