VISA alumni referral form

Whether you are just providing us an update or introducing yourself to us for the first time, we are always excited to learn more about you! This form is intended for Alfred University alumni interested in referring a student to attend Alfred University.

If you are an alum or friend of Alfred University willing to help, but you do not wish to refer a particular student at this time, please use this form to indicate your areas of interest.

Thank you, and Fiat Lux!

Your Information

First Name

Last Name

Country

Street

City

Region

Postal Code

Email

Phone

Your year of Graduation

Are you interested in mailing to students?

Yes

No

Are you interested in receiving admissions training to help with various recruitment events?

Yes

No

Student Information

Expected Entry Term

First Name

Middle Name

Last Name

Preferred/Nickname

Gender

Female

Male

Other

Birthdate

Student Contact Information

Email Address

Student Cell Phone

Mailing Address - please enter the students complete mailing address including box, floor, or apartment numbers

Country

Street

City

Region

Postal Code

Student Academic Information

High School

School CEEB

Academic Interest - Majors Only

If you are interested in a Pre-Professional Advising track, please select below