Intercultural Student(s) Referral Form & Instructions

If you are referring more than one student, you may choose the easy option to email an Excel file with ALL student referrals to

Please note: If you choose to email an Excel file, the file must include the student’s first & last name, student’s home address, student’s home phone number, Junior or Senior class standing and the student must have a GPA of 3.0 or above. Additionally, the Excel file should include the name of the High School, the name and position of the person referring the student(s), work phone number, and work email.

Intercultural Student(s) Referral Form

  • Student Information

  • Student's High School Information

  • Information about the person referring the student