Student Referral Program Request

Student Referral Program Request

The following information should be completed and submitted to Reformed University when referring a prospective student.
As a current Reformed University student, you already know and understand the value of a Reformed University degree. Therefore, you are the best possible spokesperson for the RU. You've experienced the personal attention of our caring faculty and staff.

Now is your chance to invite another passionate and motivated student to RU. Please refer him or her by completing the online form below. As a sign of our gratitude, we will offer you a $100 CREDIT once the referred student enrolls and successfully completes his/her first term. You can make more than one referral; however each referral must be filled out separately.

IMPORTANT REQUIREMENTS
- Be sure to remind the person you are referring to that he/she should identify you as the referrer when they submit their application.
- Missing information can invalidate the referral and/or significantly slow down the process.
- You make multiple referrals. Each prospect/applicant/student may only have one referrer.
- A $100 CREDIT will be applied to your student account after 8 weeks from the semester start date when the new student has paid in full for that semester.
- Questions: Please contact the Admissions Office at 770-232-2717 or admins@runiv.edu
- Reformed University reserves the right to change the Referral Program or the referral award structure at its discretion.
Student Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Phone Number*
Please enter a valid phone number.
E-mail*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Referred Student Information
Referred Student Name*

First NameLast Name
Referred Student Phone Number*
Please enter a valid phone number.
Referred Student E-mail*
example@example.com
Referred Student Starting Term*
EX) Spring 2022, Fall 2023
Relationship to the Prospective Student*

FamilyFriendOther
Other Information
Signature of Applicant*

Clear
Date of Signature*

MonthDayYear
Date
Should be Empty:

Student Referral Program Request

Referred Student Information