The national leader in experiential, hands-on learning

Do you know a student who is interested in Keuka College?

A young man or woman who could benefit from all the College has to offer and contribute in his or her own way to the quality and vitality of our campus community?

If so, we want to hear from you. Simply complete the following form with the name of the person in your family, neighborhood, or town who just may turn out to be a great future addition to Keuka.

Please know that every student recommended will be provided with helpful information about the College, its admissions procedures, and alumni/parent admissions referral application fee waiver, scholarship opportunities, and more.

Thank you for your continued support of Keuka.

*Fields in red are required	Information about referrer:
*Your first name:
*Your last name:
Your maiden name:
*Your e-mail address:
Home phone:
*Your affiliation with Keuka College:
*Relation to student:	If family:

	Information about student being referred:
*Student's first name:
*Student's last name:
Student's e-mail address:
*Student's mailing address 1:
Address 2:
*City:
*State/Province:
*ZIP/Postal Code:
Country:
Daytime telephone:
*High school year of graduation:
*Referral type:	Freshman Transfer
Student's high school or college and school/college location: