Alumni Referral Program

Ursinus Alumni Information

Professional Title (If applicable)

First Name

Last Name

Email Address

Preferred Sweatshirt Size

Alumni Referral Type

Student's First Name

Student's Preferred Name (If different than first name)

Student's Last Name

Student's Birthdate (Not required, but this helps our system match records)

Student's Email Address

Student's Current High School

Student's Entry Term (Month and year they would be entering Ursinus)