CALIFORNIA STATE UNIVERSITY, EAST BAY

Letter of Academic Recommendation

MSW Program Application

References written by a college-level instructor or other professional/employers preferred (rather than personal references).

APPLICANT INFORMATION

Net ID (Optional)

First Name

Last Name

Middle Initial

Date

Email Address

The provisions of the Family Educational Rights and Privacy Act of 1974 as amended apply to the contents of this form. In accordance with the Family Educational Rights and Privacy Act of 1974, I (as the applicant) give my permission to release confidential information for the purpose of application to the CSUEB Master of Social Work Program.

I do waive my right to review this recommendation in accordance with the “Family Educational Rights & Privacy Act” of 1974.I do not waive my right to review this recommendation in accordance with the “Family Educational Rights & Privacy Act” of 1974.

Please send this form to your three references. You can add all three names and emails now by clicking "add another response" or you can complete this form separately for each reference.

Recommender Details

First Name

Last Name

E-Mail Address