Refer a Student to Southwestern

Prospective Student - Required Information

Prospective Student Email Address

Prospective Student First Name

Prospective Student Last Name

Optional: Prospective Student Nickname/Preferred Name
(if different from above)

This student will be entering Southwestern as:

First-Year Student

Transfer Student

This student would be entering Southwestern in:

Prospective Student - Optional Information

Prospective Student Current/Most Recent School
Please use the predictive type to select the school from the drop-down list. NOTE: you may need to spell out words such as "fort" and "saint". You can also type the city and/or state of the school, along with the name.

CEEB (read-only)
This field will populate automatically if you select the school from the drop-down list above

Prospective Student Birthdate

Prospective Student Mailing Address

Country

Street

City

Region

Postal Code

Prospective Student Academic Interest(s)

Prospective Student Cocuricular Interest(s)

Referring Alumni Information

Referring alumni first name

Referring alumni last name

Referring alumni class year

Referring alumni email address

Referring alumni relationship to student