Student Referral Form

Every year, students visit and apply to �鶹��ý because of the recommendation of an alumna or alumnus like yourself.

Please tell us about the student you wish to refer. The information we require is the student's name,��a means of contact��(email or phone number), and information to help us tailor our response.

Student First Name

Student Last Name

Student Email Address

Student Phone Number

Where does this student live?

Country

City

State

Which high school does this student attend?

A detailed description of a student's interests and/or current activities will help ensure that Ohio Northern shares relevant information with him/her. Some examples of helpful information are academic interests, extracurricular activities, sports and hobbies. If you know which college the student might be interested in (Arts & Sciences, Business Administration, Engineering or Pharmacy), please be sure to list it below.

Student Information

Your First Name

Your Last Name

Your Email Address

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Student Referral Form

Information for: