Referral Payment Request Form

Thank you for referring your friend to Anderson College! Please fill in the form below to initiate the referral payment request. Fields with * are mandatory. For your information, a "Referrer" is a person who has referred a student to Anderson. A "Referral" or "Referred Student" is a person who has been referred by you to Anderson.

If you have referred more than one student, please fill in a separate form for each student.

If you have questions regarding this form, please email questions@andersoncollege.com. Thank you!

How this works

Conditions:
Referred student must have made payment and attended Anderson for at least 30 days before the referrer is eligible to request the referral payment.

Payment Request:
Referrer to fill in the form and provide photo ID and banking information, then click submit.

Verification:
Anderson will verify the student's attendance, payment information and lead source accuracy before processing the referral payment request.

Payment Processing:
Once all the above information is verified, Anderson will proceed with the direct deposit into the referrer’s bank account. Delays may occur if the above information is incomplete. Processing time will depend on how quickly the required information is received.

*Banking information needs to be either a void cheque or direct deposit form. Incorrect banking information will cause delays in the process.

click here for banking sample (void check)

click here for banking sample (direct deposit form)

Thank you for your referral!

Referrer’s (Your) information

Name:*

First NameLast Name

Email address:*

Phone Number:*

Area CodePhone Number

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

My Anderson status*

GraduateCurrent studentOther

What is your relationship to the referred student*

FriendFamilyColleagueOther

To ensure the payment is deposited into the correct account a photo ID is mandatory and the name must be the same as that in the banking information provided below.*

Browse to attach files

Please double check with your bank and obtain the correct banking information. Direct deposit information provided by the bank or a void cheque is acceptable. Name of the bank account must be the same as the name provided above.*

Browse to attach files

(direct deposit information or void cheque)

Information of referred student

Name*

First NameLast Name

Campus Location*

Program (optional)

Email address (optional):

example@example.com

Phone number:*

Area CodePhone Number

Start date (optional)

Date

By signing below, I understand that:

(please check all 7 points)

The student must have completed 30 days of attendance.The student must have made tuition payment to Anderson College.Anderson will verify that the student is referred by me.It can take up to 15 business days for payment processing.Lack of information such as my photo ID will cause payment delays.Inaccuracy of my banking information will cause payment delays.The referred student enrolls and starts a program wherein the Tuition fee is higher than $4000In circumstances where my account with Anderson College is overdue, the referral payment will not be made and instead will be offset towards the overdue amount owed by me to Anderson College.

Signature*

Date

Thank you again for referring to Anderson College!

To refer another friend, please go to https://andersoncollege.com/student-life/referral-program/