High School Counselor Student Referral Form

Do you know a great high school student that you would like to refer to Agnes Scott College? Use this form to get that student on the Admission Office's radar so that they can receive grade appropriate literature and information. Thanks for your help in recruiting the next class of great Scotties!

Your Name

Your Email Address

Your High School or IEC Business Name

Student First Name

Student Preferred Name

Student Last Name

Student Email Address

Student Birthdate

Student Mailing Address

Country

Street

City

Region

Postal Code

Current School Name

Please tell us more

Anything else we should know about this student?