Alumni Referral Form

Thank you for taking the time to refer a student to Radford University. Your dedication to being an ambassador for your alma mater is appreciated and welcomed. We look forward to engaging with you and the applicant to support them in their college search process.

Please complete the form below so we can begin to share with the student all of the exciting opportunities available to them at Radford University.

Student Information

First Name

Preferred Name

Last Name

Birthdate

Email Address

Phone

Mailing Address

Country

Street

City

Region

Postal Code

Academic Information

What will the student's application type be when they apply?

International Transfer

New Freshman

New International Freshman

Transfer

Please only select the New International Freshman or International Transfer if the student's country of citizenship is a country other than the United States.

Select the intended campus.

Online RN-to-BSN (Fast-Track)

Main Campus

Roanoke Higher Ed

RU Carilion

Note: the online RN-BSN program is available only for students who currently hold or are in programs leading to licensure as a Registered Nurse.

Please indicate student's intended major.

High School Information

High School Name

School CEEB Code

Education Level

College Information

Most Recent College Name

College Code

Education Level

Alumni Information

Please provide us with your name, graduation year, and contact information below.

First Name

Last Name

Graduation Year(s)

Email

Phone

Please share with us a short statement regarding your connection and support for the student's application to Radford University.