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Park University
References for Off-Campus Graduate Programs
Applicant Information
Applicant's Full Name
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Graduate Program Applying To
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Waiver
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I waive my access to this data under the provisions of the Family Educational Rights and Privacy Act.
I do not waive my access to this data under the provisions of the Family Educational Rights and Privacy Act.
Applicant Signature
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Applicant Date
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Reference Information
Recommender's Name
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Recommender's Email Address
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