Alumnae Refer a Student Form

Alumnae Refer A Student Form

Use the form below to refer a student to Salem. Referred students will receive a letter telling them that a Salem Alum referred them to the admissions office. Your name will not appear on the letter if you choose to remain anonymous.

Your Name(Required)

First Last

Email(Required)

Enter Email Confirm Email

Phone(Required)

Student's Name(Required)

The student you are referring to Admissions.

First Last

Student's Email

Student's Phone(Required)

Student's Address(Required)

Street Address Address Line 2 City State ZIP Code

Students High School

Student's Graduation Year

Comments

Remain Anonymous(Required)

Yes

This field is for validation purposes and should be left unchanged.