• Ban Why JWU Univ
  • Alumni Referral

    Refer a Student
    Please use this form to send us a referral of a prospective student. Supply as much information as you can. Thanks!

    Student Information
    First Name:

    Last Name:

    Gender:

                                   

    Street Address:

    City:

    State:

    Zip:

    Country:

    Phone:
    (include US area code or country and city code)

    Email address:

    High School:

    Year of Graduation:

    College(s) previously attended, if any:

    Academic/Career Interests:

    Clubs/Sports/Activities:

    Campus of Interest:
     

    Your Information
    First Name:

    Last Name:

    Maiden Name / Name as Student:

    Street Address:

    City:

    State:

    Zip Code:

    Country:

    Phone:

    Email Address:

    Alumni ID#:

    Campus:

    Class Year:

Other Highlights