Alumni Referral Form

Do you know a prospective student who would be a perfect match for Belhaven University? Just fill out as much information as possible about the student and our Admission office staff will make contact with him/her about the possibility of attending BU. Thank you for helping spread the word about your alma mater and building future Blazers!

Student’s Information:

First Name:
Last Name:
Street Address:
Address Cont:
City:
State:
Zip:
Phone:
E-Mail:
Program of Interest:	Traditional (18-22 year olds) Online Program Adult Evening Completion Home School - High Scholar
Year of Graduation:
Additional Comments:

We would love to send you an appreciation gift for this referral. Please provide us with the following information.

Alumni Information:

First Name:
Last Name:
Class Year:
Street Address:
Address Cont:
City:
State:
Zip:
E-Mail:
	Enter the numerical value of ten minus three.

	Alumni Information
Alumni Directory
Build a Blazer! Program
Fifty Year Club
Alma Mater
Job Board

	Giving to Belhaven
Online Giving Form
The Belhaven Fund
Team Green
Planned Giving
Designated and Endowed Scholarships

	Church Relations
Church Related Scholarships
Church Involvement
Speakers Bureau
Pastors Connection
Seminaries