Alumni Referral

L.E. Maxwell Award

Alumni Referral
Thank you for taking the time to refer a student for the 2024-2025 school year. Please fill out the following information. When you have submitted the form you will receive a confirmation email.

Please note that the last day to submit a L.E. Maxwell Award form is August 1, 2024.
A. Alumni Information
Name:*

First NameLast Name
E-mail:*
Phone Number:*

Area CodePhone Number
Years Attended at Prairie:*
School(s) Attended:*

Prairie High SchoolPrairie CollegePrairie Graduate SchoolPrairie Employee(Staff/Faculty)
*All items are required to be filled in for submission.

As an alumnus of Prairie I recommend the student named below to attend Prairie. I know this applicant personally and to the best of my knowledge their personal Christian life and testimony are in line with Prairie standards.

I have read and agree to the Terms and Conditions.
B. Applicant Information
Applicant Name:*

First NameLast Name
Their Email*
example@example.com
Program:*
Hometown:
Home church:
C. How do you personally know the applicant?
Should be Empty:

L.E. Maxwell Award