Name of Student:

Semester for which you are applying:

I hereby authorize to complete this form. Under the provision of the Family Educational Rights and Privacy Act of 1974, I waive my right of access to this recommendation.

Yes: No:

I understand that this document will be used to evaluate my qualifications for the Trinity-in-San Francisco Program and will be part of my application file.

Please answer the four questions below or write an attached letter that answers them. Thank you for your assistance.

1. Is this student in good standing academically and otherwise at your institution? If not, please explain.

2. Has this student obtained the necessary approval(s) from your institution to study in the Trinity-in-San Francisco Program of Trinity College for the period indicated above? If not, or if the approval(s) is conditional, please explain.

3. Will this student receive transfer credit towards his or her degree requirements at your institution for course work successfully completed in the Trinity-in-San Francisco Program? If not, or if there are any conditions attached to receiving transfer credit, please explain.

4. Do you recommend this student for the Trinity-in-San Francisco Program on the basis of his or her motivation, stability, maturity, and probable capacity to act responsibly as a member of a small community and when given independence within an urban environment?

Name of Study Abroad Advisor or Dean:

Title:

Full address:

Phone:

Date: