Request for Letter of Good Standing For Arts and Sciences Students Only

Directions: Please fill in the blanks, as indicated, on your computer, print, sign/date, and return this form to: University of Colorado, Academic Advising Center, Woodbury 109, Campus Box 290, Boulder, CO 80309-0290, Fax: 303-735-5519. Keep a copy for your records. Note: If this is a request for a Dean's recommendation for a professional school (law school or medical school), do not submit this form. You must contact the Preprofessional Office in Old Main 1B90, 303-735-3000. For letters of recommendation for graduate schools or employers, do not submit this form. You must contact Career Services in Willard Basement, 303-492-6541. Complete all items below, except your signature and date at the bottom of the form, on-line. 1. Name: 2. Student ID:         SSN:         Phone Number:        CU E-mail:   3. Check one of the following: I will return in five or more days to pick up the letter. Please send the letter to the following address: Street Address: Street Address: City, State, Zip: 4. Please complete form entirely. Any uncompleted forms the Office of Judicial Affairs receives will be returned to the College of Arts and Sciences, resulting in processing delays. Authorization for Release of Information. I, (name)  , (student ID):   do hereby authorize the Office of Judicial Affairs to release to any duly accredited representative of the College of Arts and Sciences, any and all information relating to any non-academic disciplinary records that may exist in my name at the Office of Judicial Affairs at the University of Colorado at Boulder. PRINT this form, sign and date, and submit the completed form. Signature: ___________________________________ Date: _______________

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6/5/08