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Registrar
A.T. Still University Home

Forms

KCOM Academic & Clinical Educational Affairs
MSPE and LOR Request Form

The Medical Student Performance Evaluation (MSPE) is obtained from the Academic & Clinical Educational Affairs Office for KCOM third and fourth year students and graduates.  The MSPE cannot be released directly to the student/graduate.  The MSPE may be released to post-graduate training programs, credentialing services, professional licensing boards, hospitals and other entities for the purposes of residency application (outside of ERAS), licensing, staff membership, employment and/or other privileges.  MSPE’s are not available before 2001.

Letters of Recommendation are obtained from this office for the Class 2010 through the Class of 2015.  LOR’s can only be released directly to the student/graduate if you did not waive your right to see the letter.  LOR’s for the Class of 2016 and beyond are not available from the school as these letters are required to be submitted directly to ERAS by the letter writers. 

Requests for Transcripts should be made to the Registrar’s Office.

Please complete the form below to make your request. Please allow 2-4 business days for processing.

* Required fields

Your First Name:

*

Your Last Name:
(at time of graduation)

*

Address:

*

City:

*

State:

*

Zip Code:

*

Phone:

*

Email:

*

Graduation Year:

*

Check appropriate box: *

Medical Student Performance Evaluation

Letter(s) of Recommendation

 

Letter Writers:









All LOR’s on file

You can request documents to be sent to up to three contacts per request form.
(Include Department or Contact Person)

Request 1:

 

Send via email to:

 

Request 2:

 

Send via email to:

 

Request 3:

 

Send via email to:

 

*

By checking this box, I authorize Academic & Clinical Educational Affairs to release the requested documents
on my behalf.