Alumni Referral Form Thanks for your referral. Perhaps you'd like to ? Use this form to participate in the Alumni Referral Program by recommending a student to us you think would do well at Centenary. Though this form is intended primarily for the use of Centenary alumni, we will also accept referrals from folks with other kinds of connections to the school — you can indicate your particular connection within the form. Information About the Referrer Let us know who you are and tell us a little bit about your relationship to Centenary. last name first name address line 1 address line 2 city state zip email email again home phone cell phone your connection(s) with Centenary Alumnus/a class year? Student class year? Parent Faculty/Staff Counselor your connection with the student Information About the Referred Student Please fill out as much information about the student as you can give; be sure to provide at least one form of contact information. last name first name address line 1 address line 2 city state zip email phone high school high school city high school state year of high school graduation year of birth Anything about this student we should know?