Alumni Referral Form

I AM A ...

Alumni Referral Form

As an alumnus of The College of St. Scholastica, you can help a prospective student and the College at the same time! You help the College by providing the name of prospective student who can benefit from a Scholastica education. You help a prospective student by connecting him/her with that education and, if eligible, provide him/her with a scholarship to help fund it.

Please complete the form below. Your referral will be submitted electronically to the College. If the prospective student is eligible for a scholarship, you will be informed of the next steps on the following page.

*Your First Name:
*Your Last Name	(please include maiden name in parentheses)
*Address:
*City:
*State:
*Zip:
*Email:
Phone:
Year of Graduation:
Major/Program:

I'm referring:

*First Name of Student:
*Last Name of Student:
Address:
*City:
*State:
Zip:
*Email:
*Phone:
Current HS/College or last HS/College attended:
Month/Year of Graduation from current institution (leave blank if unknown):
*CSS Intended Program Area:
Anticipated Start at CSS:
*denotes a required field