Your form has been saved as a draft. If you need to stop working on this form and continue it later, you may find the form in the pending / drafts section under "My Forms"
Close Window
For security reasons, your session will end in two minutes. Please save your work to avoid timeout.

Referral Promotion


Timertimer
* = required field

Refer A Friend


Identifying information of student who is referring someone.

Student ID Number
(do not use Star ID)
*
First Name
Middle Initial
Last Name
* * *

Information of the Referred Student
First Name
Middle Name
Last Name
*    *
Email Address
Mailing Address
Phone Number
        
You must provide 2 of the 3 (email address, address, or phone number) requested information about the referred student to be eligible for the gift certificate.

www.minnesota.edu

A member of the Minnesota State Colleges & Universities System. An Equal Opportunity Educator and Employer