Alumnae Referral

Prospective Student Information

Student's first name *

Student's last name *

This student will be a...

Student's mailing address *

Country

Street

City

Region

Postal Code

Student's phone number

Student's email address

Student's high school

HS CEEB

Current college student's attending

College CEEB

This student will enroll at Hollins during?*

Parent first name

Parent last name

Parent address (if different than student)

Country

Street

City

Region

Postal Code

Parent email

Student's academic/extracurricular interests

Comments

Personal Information

I refer the above student to the Hollins University Office of Admission. If my referral is received before her admission and she enrolls at Hollins, she will receive a one-time $500 Alumnae Referral Scholarship toward her first year's tuition. Horizon students receive $500 for their first semester, provided they enroll at least half time (two classes).

Your first name *

Your middle name or initial

Your last name *

Hollins class of (YYYY) *

Your relationship to the prospective student?*

If other, please describe your relationship to the student

Your relationship to prospective student * (hidden)

Your address *

Country

Street

City

Region

Postal Code

Your email *

Your phone number