Student& Alumni Referral Form


Student& Alumni Referral Form


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Please use this form to refer students and alumni to the UIS Career Development Center.
All items with an * are required to complete and submit the form.
Referred by:

 

answer must be an email address

  email rules

answer must be phone number with area code like 217-333-1000

  phone number with area code rules

 
Student/Alum Information:

 

answer must be an email address

  email rules

answer must be phone number with area code like 217-333-1000

  phone number with area code rules

Student or Alum?

required8. Student or Alum?
 
 
 
Please explain your reason for referral. Do not provide private information here as this transmission cannot be used for the transfer of confidential information.

Thank you for the referral. We will contact the student or alum and offer our services. You will not receive information about services provided to the student because of the confidential nature of career counseling.