Admission - Referral Form

* denotes a required field

Alumni Referral Form

Referer's Personal Information

* Full Name

* Address 1

Address 2

* City

* State

* Zip Code

* Phone Number

Employer

* Pick a Description

Alumni Only Information

Year of Graduation

Major

Would you be willing to assist in recruiting?
(check as many as apply)
Assist at a college fair and/or career night, in my community

Call students in my community who have applied to UWP

Host receptions for prospective students from my community

Write letters to students who I feel should consider UWP

Please Send Admission Information Packet(s)

Information on The Campus Visit Program

Application for Admission

Information on Majors

Information on Costs, Scholarships, and Housing

Information on Campus Activities (club, etc.)

Information on specialty areas

Student's Personal Information

* Full Name

* Address 1

Address 2

* City

* State

* Zip Code

* Phone Number

* Date of Birth

Social Security Number

* What Type of Student?

Student's High School Information

* High School Name

Address 1

Address 2

* City

* State

Zip Code

* Year of Graduation

Information about Student

Indicate Interest in Major

Indicate Interest in Minor

Indicate Interest in Sport

Indicate Interest in Music

Indicate Other Interest

* Denotes a Required Field