UNIVERSITY OF HAWAII AT MANOA
Department of American Studies

WAIVER OF ACCESS TO CONFIDENTIAL RECOMMENDATION
LETTERS/STATEMENTS

Instructions to the applicant: In accordance with the provisions of the Federal Family Educational Rights and Privacy Act, you may waive your right to inspect and view this letter of recommendation relating to your application to the American Studies Department. Please complete this form and give a signed copy to each person providing a written letter of recommendation on your behalf.

Instructions to the person providing a recommendation letter: As indicated below, this applicant has/has not waived the right to view or inspect your recommendation letter. Please attach this form to your letter and mail to:

American Studies Department
University of Hawaii at Mnoa
1890 East West Road, Moore 324
Honolulu, HI 96822

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In accordance with the Federal Family Educational Rights and Privacy Act, I understand that I may voluntarily waive my right to inspect or view this recommendation letter that is being submitted in support of my application to the American Studies Department. I further understand that if I waive my right to inspect or view this recommendation such action is irrevocable and I will not be permitted to view or otherwise obtain any information contained in this letter.

[ ] I waive my right to inspect or view this letter.

[ ] I decline to waive my right to inspect or view this letter.

Applicant's Name (print): _____________________________________

Applicant's Signature:________________________________________

Date: ______________________

Applicant's Social Security No. ________________________________