Cornell College Alumni Referral Form

Cornell alumni are in a unique position to understand the type of student who would thrive at the college.
The Admission Staff benefits greatly when alumni help to raise Cornell’s visibility in their community. We
welcome your referrals. Cornell’s $40 fee is waived for any student referred by a Cornell alum.

Alumni Information

First Name:
Last Name:
Grad Year:
Address:
City:
State:
Zip:
Phone Number:
Email Address:
Student 1
First Name:
Last Name:
Address:
City:
State:
Zip:
Phone Number:
Email Address:
GPA:
High School:
Academic Area of Interest:
Extracurricular Area of Interest:
Student 2
First Name:
Last Name:
Address:
City:
State:
Zip:
Phone Number:
Email Address:
GPA:
High School:
Academic Area of Interest:
Extracurricular Area of Interest:
Student 3
First Name:
Last Name:
Address:
City:
State:
Zip:
Phone Number:
Email Address:
GPA:
High School:
Academic Area of Interest:
Extracurricular Area of Interest:
Student 4
First Name:
Last Name:
Address:
City:
State:
Zip:
Phone Number:
Email Address:
GPA:
High School:
Academic Area of Interest:
Extracurricular Area of Interest:
* Required Field

If you have an questions or comments about this form, please contact:

Sharon Grice, Associate Director of Admissions
Phone: 1-800-747-1112
Email: sgrice@cornellcollege.edu