Give Us A Student Lead

Thank you for recommending a student who exemplifies Christian service and leadership in their church, school, and/or community. Your referral is important to us! Please complete as much information on this form as possible. Accurate and up-to-date information helps us make successful contact with the student you are referring. Thank you.

*Note: This form is not the character/academic reference form required for a student's admission. Reference form

(* indicates a required field.)

1). Student Salutation:
2). Student First Name:
3). Student Last Name:
4). Student Address:
5). Address Line 2
6). City
7). State
8). ZIP
9). Student email:
10). Parent email address:
11). Student Preferred Phone Number
12). Student Cell Number:
13). Country
14). Student's entry term:
15). Student's high school class rank:
16). Student's ACT or SAT score:
17). Is the student taking advanced courses? (i.e., AP, IB, etc.) Yes No Don't know
18). List the student's current extra curricular activities:
19). List current activities the student is participating in that strengthen his/her Christian faith:
20). What church does student attend?
21). What school does student attend?
22). Student's major of interest?
23). Ethnicity of student?
24). How long have you known this student?
25). Have you personally spoken with the student about ACU? Yes No
26). Has the student shown any interest in attending ACU? Yes No
27). Have you encouraged the student to make an official visit to campus? (Note:To set up a campus visit, students may call 1-800-460-6228, or visit www.acu.edu/visit) yes no
28). Additional information you would like to share about this student:
*29). Name of person recommending student:
30). Address of person recommending student:[include city, state & zip]
31). Country of person recommending student:
32). Email address of person recommending student:
33). Preferred phone number of person recommending student:
*34). What is your relationship with ACU? Alumnus Board of Trustee Advisory Council Alumni Advisory Board Friend of the University ACU Faculty/Staff Parent of Current/Former Student Other
35). What is your relationship to referred student?