Alternate Letter Service Student Registration

Instructions:
Use this form only if you wish to register in person or by mail.

Fill out this form on your computer screen and print it out.
Sign the Authorization below.
Deliver or mail to Career Center.
Payment in the amount of $20 made payable to "UC Regents - Career Center" must accompany form (check, money order or credit card).

Mail or deliver to:
UC Berkeley Career Center
Attn: Letter Service, Room 212
2111 Bancroft Way
Berkeley, CA 94720-4350

An asterisk (*) denotes required information. - Please type or print legibly.

* First Name:

Middle Name:

* Last Name:

* Address:

Address:

* City/State/Zip:

Country:

* Phone 1:

Phone 2:

* Email:

* Student ID:

* Last 4 Digits of Social Security Number:

* Birthdate:

(mm/dd/yyyy)

* Degree Date:

(mm/yyyy)

* Degree:

Bachelors Masters
Credential Doctorate

* College/School

* Please indicate your primary choice of file type you would like to establish or reactivate:

Graduate/Professional Admissions:
Grad School (MA/MA, PhD, MPH, etc.)
Med School (MD, Osteopathy, etc.)
Law School
Other Professional Schools

Academic Employment:
Must have completed or be currently enrolled in a graduate or credential program to select one of the following File Types:
Elementary/Secondary Teaching
College/University Teaching
Administrative
Other Academic

*Form of Payment

Check
Money Order/Cashier's Check
Credit Card
Debit Card

FEES ARE NON-REFUNDABLE AND NON-TRANSFERRABLE. MEMBERSHIPS ARE NOT PRORATED.

Authorization

My signature below indicates that I have read and understand the current Career Center Letter Service Policies and Procedures. I agree to comply with all terms and conditions as stated therein. I hereby authorize the Career Center to collect, maintain and distribute letters of recommendation for the purpose of admission to graduate and professional school and/or academic employment. I authorize that all recipients of recommendations written after August 1, 2001, be informed whether I have waived my right to read them.

Signature:__________________________________ Date:__________________________

Back to Letter Service Home

This page last updated 3/26/2007 (pn)