LETTER OF RECOMMENDATION REQUEST
revised: 3/19/18
I, ___________________________________________ ( ), give permission for
(print your name) (RCC ID#)
___________________________________________ to write a letter of recommendation to or
(print instructor/staff member name)
respond to telephone reference inquires from those listed below:
My grades, GPA, attendance, and classroom performance may be included in the letter of
recommendation or telephone reference inquiry. The purpose of this recommendation/inquiry
may be scholarship, employment, admission to college or graduate school, or (list other below):
_______________________________________________________________________
I waive my right to review a copy of this letter at any time in the future.
____________________
(student’s signature) (date)
Note to Faculty: To archive this form, submit it to one of the following locations:
Redwood Campus
Rogue Central
3345 Redwood Highway
Grants Pass, OR 97527
rcs@roguecc.edu
fax - (541) 471-3585
Riverside Campus
Rogue Central
117 S Central
Medford, OR 97501
rcs@roguecc.edu
fax - 541-245-7648
Table Rock Campus
Rogue Central
7800 Pacific Avenue
White City, OR 97503
rcs@roguecc.edu
fax - 541-245-7648
For Office Use Only
Date received: _______________ By: _______________
RCC is an open institution and does not discriminate. For RCC's non-discrimination policy and a full list of regulatory specific contact
persons visit the following webpage: www.roguecc.edu/nondiscrimination.
