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Use this form if you would like to request a letter of recommendation from Prof. Brittany Terese Fasy.

Your information

Name that I should use in your letter:

Other names (if applicable):

email address:

What pronouns do you want me to use in your letter(s):

she / her
he / him
they / them
Please do not use pronouns.

Letter(s) requested (check all that apply):

Graduate School Application(s)
Postdoc Application(s)
Job Application(s)
Fellowship or Scholarship Applications
Other

If for a particular opportunity:

To what are you applying?

Website (if applicable)

Due Date

Courses you took from me (including semester and final grade):

If there are specific things that you would like me to address in your letter(s), please explain here.

Where do you see yourself five years from now?

The Family Education Rights and Privacy Act (FERPA) protects certain information from being released without permission from the student. Some of this information could be relevant in a letter. Please check the information that you give me permission to write about in my letter(s) of recommendation for you (note: checking a box does not necessarily mean that I will include it):

GPA
Relative class ranking.
Names of courses taken.
Grade in classes that you took with me.
Grade in exam(s) or assignments.
Progress towards degree / expected graduation date. (Note: for graduate students, this includes research progress to date.)
Participation in and research progress made in undergraduate research project funded through Undergraduate Scholars Program (USP), First year Experience (FYE), or INIBRE.
Particpation in and research progress made in NSF-funded REU.
I do not give permission to disclose any FERPA-protected information.

If you gave permission for me to write about FERPA-protected information in a letter of recommendation, please let me know the duration for which you give your consent:

For this letter only.
For any letter written over the next year. (Suggested option for former students).
For any letter written while I am a student at MSU. (Suggested option for current students).
Forever, unless an email is sent to revoke this permission.

Do you waive your right to request a copy of this letter in the future?

I waive my right to review a copy of the letter of recommendation at any time in the future.
I do not waive my right to review a copy of the letter of recommendation at any time in the future.

By signing below, I give consent for Prof. Fasy to write the letter of recommendation, as indicated above.

Sign Here

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