[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-174600-105":53,"doc-detail-174600-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","student-information-recommendation-authorization-form","Student Information - Recommendation Authorization Form","","This Recommendation/Evaluation Authorization & Waiver form enables students and/or graduates of the UNMC College of Allied Health Professions (CAHP) to authorize CAHP faculty or staff to consult FERPA-protected education records and disclose them to third parties. It collects student identification, program information, recommender details, type of disclosure, intended recipients, and the purpose of release. The form also includes a waiver of access option and requires signatures before requests are processed, with submission handled through CAHP Enrollment Management & Student Affairs.",{"@graph":63,"@context":122},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/student-information-recommendation-authorization-form/174600/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/student-information-recommendation-authorization-form/174600.png","ImageObject",442,249,{"name":88,"@type":89},"Lucas Martin","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/vnd.openxmlformats-officedocument.wordprocessingml.document","2026-10-23","2026-09-02",true,{"@type":98,"interactionType":99,"userInteractionCount":15},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114,118],{"name":105,"@type":106,"acceptedAnswer":107},"Who should complete this form and when is it needed?","Question",{"text":108,"@type":109},"Students and/or graduates of the UNMC College of Allied Health Professions (CAHP) complete it when requesting CAHP student information such as written or verbal references or evaluations from CAHP faculty/staff or UNMC representatives.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"What are the submission requirements for recommendation requests?",{"text":113,"@type":109},"All requests must be submitted using the attached form to CAHP Enrollment Management & Student Affairs via mail, fax, email, or in person, and all requests require a signature; phone requests are not accepted.",{"name":115,"@type":106,"acceptedAnswer":116},"How does FERPA affect the authorization for releasing education records?",{"text":117,"@type":109},"FERPA requires school officials to obtain student authorization/waiver before providing FERPA-protected education records to third parties for the specified purpose(s).",{"name":119,"@type":106,"acceptedAnswer":120},"What options are available regarding waiving the right to review recommendations or evaluations?",{"text":121,"@type":109},"Section E requires the student to check either that they waive the right to review requested recommendation(s)/evaluation(s) or that they do not waive that right.","https://schema.org",{"og:url":78,"og:type":124,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":126,"canonical":78},"index,follow",{"doc_id":128,"site_id":56},174600,1788314913,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":88,"user_avatar":133,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":15,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":76,"language":139,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":61,"update_tm":129,"read_time":9},8796095360427,"https://ap-avatar.wpscdn.com/davatar_994ba38a5ba835b3df7d355c54d3ed8d","College of Allied Health Professions\nRecommendation Authorization Form\nThe following form is relevant for students and/or graduates of the UNMC College of Allied Health Professions (CAHP).\nFor requests for CAHP student information, including written or verbal references or evaluations from faculty and/or staff of the College of Allied Health Professions or from any individual representing the University of Nebraska Medical Center, please complete the Recommendation/ Evaluation Authorization and Waiver form on the following page.\nRequests must be submitted using the attached form to CAHP Enrollment Management & Student Affairs via mail, fax, email, or in person using the contact information below. (Students may submit a request directly to a recommender, but the recommender must submit a copy to CAHP Enrollment Management & Student Affairs for your file.) Specific questions regarding this form should be directed to CAHP Enrollment Management & Student Affairs.\nPlease note: all requests require a signature; phone requests will not be accepted.\nCAHP Enrollment Management & Student Affairs\tPhone: (402) 559-6673\n984035 Nebraska Medical Center\t\t\t\tFax: (402) 559-3385\nOmaha, NE  68198-4035\t\t\t\t\tEmail: \u0013 HYPERLINK \"mailto:cahpadmissions@unmc.edu\" \u0014cahpadmissions@unmc.edu\u0015\nInstructions for completing this form:\nThe form must be fully completed and signed by the student. Records should not be released if any section of this form is not filled out entirely.\nSend the completed form to UNMC CAHP Enrollment Management & Student Affairs using the contact information above (email preferred).\nCompleted forms shall be maintained by UNMC CAHP Enrollment Management & Student Affairs.\nRECOMMENDATION/ EVALUATION AUTHORIZATION & WAIVER\nUNMC COLLEGE OF ALLIED HEALTH PROFESSIONS\nStudent Information\nName of Student (Last, First, Middle Initial):\t\t\t\tDate:\n\u0003Click or tap here to enter text.\u0004\t\u0003Click or tap here to enter text.\u0004\nName of Program:\t\t\t\t\t\t\tStudent NUID:\n\u0003Click or tap here to enter text.\u0004\t\t\t\t\t\t\u0003Click or tap here to enter text.\u0004\nThe Family Educational Rights and Privacy Act (FERPA) affords certain rights to students concerning the privacy of, and access to, their education records. In order to submit recommendations or evaluations in accordance with FERPA regulations, school officials must request that students submit this authorization/ waiver or its equivalent prior to providing FERPA-protected student information to third parties. For additional information regarding FERPA, please visit UNMC’s FERPA Information page at \u000b\u0013 HYPERLINK \"https://www.unmc.edu/student-success/academic-records/ferpa.html\" \u0014https://www.unmc.edu/student-success/academic-records/ferpa.html\u0015.\nSection A.\u000bCAHP faculty/staff making recommendation or evaluation\nName of CAHP individual making recommendation or evaluation (put “multiple” if for an entire program)\n\u0003Click or tap here to enter text.\u0004\nEmail of CAHP individual making recommendation or evaluation (put “NA” if for an entire program)\n\u0003Click or tap here to enter text.\u0004\nSection B.\u000bType of Discloser (check all that apply)\n\u0003☐\u0004 Written Recommendation/ Evaluation\n\u0003☐\u0004 Digital Evaluation Form\n\u0003☐\u0004 Verbal Recommendation/ Evaluation\n\u0003☐\u0004 Other (please specify): \u0003Click or tap here to enter text.\u0004\nSection C.\u000bPerson(s) receiving recommendation/ evaluation from CAHP faculty/ staff listed in Section A.\n\u0003☐\u0004 All Potential Employers\n\u0003☐\u0004 Any Educational Program\n\u0003☐\u0004 Only to the following (please specify): \u0003Click or tap here to enter text.\u0004\nSection D.\u000bPurpose of Release (check all that apply)\n\u0003☐\u0004 Employment\u000b\u0003☐\u0004 Admission to an Educational Program\u000b\u0003☐\u0004 Other (please specify): \u0003Click or tap here to enter text.\u0004\nSection E.\u000bWaiver of Access (check one):\n\u0003☐\u0004 I waive the right to review the requested recommendation(s)/ evaluation(s).\u000b\u0003☐\u0004 I DO NOT waive the right to review the requested recommendation(s)/ evaluation(s).\nBy typing my name below, I understand and agree that I am signing this form electronically. My signature indicates that I authorize the","cbCaikf7Xc969seC","https://ap.wps.com/l/cbCaikf7Xc969seC","docx",80403,"English","# Recommendation Authorization & Waiver Instructions\n## Submission Requirements\n# Student Information\n## Student Details\n# Authorization Sections\n## Section A: CAHP Individual\n## Section B: Type of Discloser\n## Section C: Recipients\n## Section D: Purpose of Release\n## Section E: Waiver of Access\n# Electronic Signature & Rights\n## Revocation and Copy Provisions","[{\"question\":\"Who should complete this form and when is it needed?\",\"answer\":\"Students and/or graduates of the UNMC College of Allied Health Professions (CAHP) complete it when requesting CAHP student information such as written or verbal references or evaluations from CAHP faculty/staff or UNMC representatives.\"},{\"question\":\"What are the submission requirements for recommendation requests?\",\"answer\":\"All requests must be submitted using the attached form to CAHP Enrollment Management \\u0026 Student Affairs via mail, fax, email, or in person, and all requests require a signature; phone requests are not accepted.\"},{\"question\":\"How does FERPA affect the authorization for releasing education records?\",\"answer\":\"FERPA requires school officials to obtain student authorization/waiver before providing FERPA-protected education records to third parties for the specified purpose(s).\"},{\"question\":\"What options are available regarding waiving the right to review recommendations or evaluations?\",\"answer\":\"Section E requires the student to check either that they waive the right to review requested recommendation(s)/evaluation(s) or that they do not waive that right.\"}]","Student Information - Recommendation Authorization Form | DOCX"]