Alumni Referral Form

Alumni Referral Program

Do you know a student who would be a good match for Mississippi College? If so, then we invite you to participate in our Alumni Referral Program!

Please use the following form to recommend family members, neighbors, friends, or outstanding students in your community.

***Interaction: Alumni Referral**set to alumni referral

What is your name?

What is your email address?

Student's First Name

Student's Last Name

Student's Birthdate (If Known)

Student's Current School

Student's Email Address

Student's Cell Number

Student plans to enter college:

What Type of Student will They Be?

*** Program Type UG and TR** Set to Und.

*** Program Type GR** Set to Und.