Current Student or Parent of Current Student Referral Form

Randolph College students and/or parents can now refer prospective students and receive financial assistance for doing so! For each prospective student that is referred and enrolls at Randolph College, the referring student will receive an additional $500 added to their total financial aid award from the College. Total additional aid will be capped at $2,000.

All referrals must be made prior to the prospective student completing their application for admission.

Please contact the Office of Admission with any additional questions or concerns.

Student Being Referred:

First Name

Middle Name

Last Name

Preferred Name

Birthdate

Gender

Cell Phone

Email Address

Mailing Address

Country

Street

City

Region

Postal Code

Student Type

Entry Year

Entry Term

School

Academic Interest 1

Academic Interest 2

Activities

Current Student Info:

Current Student First Name

Current Student Middle Name

Current Student Last Name

Current Student Grad Year

Current Student Email

Current Student Phone

Current Student Relationship to Student Being Referred

If you are the parent of a current Randolph student, and you are making the referral, please enter your information below:

First Name

Last Name

Email Address

Phone Number

Additional Comments/Notes