ALUMNI & PARENTS - REFER STUDENTS
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1. STEP-BY-STEP

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You need only provide the information you already have.
Use this form to recommend a prospective student to the SC State University Admissions Office. We'll take care of the rest. Or, send an email with questions or comments to the Admissions Office at admissions@scsu.edu.

*
1. Student's Name

Student's Name FIRST:
MIDDLE INITIAL:
LAST:

2. High School Information

High School Information HIGH SCHOOL:
GRADUATION YEAR:
CITY:
STATE:

3. Other Helpful Information

Other Helpful Information PARENT/GUARDIAN NAME(S):
STUDENT'S EMAIL:
STUDENT'S PHONE:
ACADEMIC/CAREER INTERESTS:
ACTIVITIES/SPORTS:

4. ETHNICITY (optional):

ETHNICITY (optional): No Answer

African American

Asian/Pacific Islander

Caucasian

Hispanic/Latino

Native American

Other

Other (please specify)

REFERRED BY

5. Your Name

Your Name FIRST:
M.I.:
LAST:
PARENT OF
CLASS OF:

Other Helpful Information

6. Contact Information

Contact Information STREET:
CITY:
STATE:
ZIP:
COUNTRY:
EMAIL:
PHONE:

7. RELATIONSHIP TO STUDENT:

RELATIONSHIP TO STUDENT:

8. WRITE OTHER COMMENTS HERE.

WRITE OTHER COMMENTS HERE.

9. IF YOU DO NOT KNOW THE STUDENT PERSONALLY, TELL US HOW YOU LEARNED OF HIM/HER?

IF YOU DO NOT KNOW THE STUDENT PERSONALLY, TELL US HOW YOU LEARNED OF HIM/HER?

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