Enrollment Management
1000 West Austin, Nevada, Missouri 64772
Phone: (888) 5COTTEY
Phone: (417) 667-8181
Fax: (417) 448-1025
Email: enrollmgt@cottey.edu


Student Referral Form

Do you know a student to recommend to Cottey? Send us her name and we will contact her.

Please tell us how you know/met this student:*
I know her personally.
I met her at a college fair.
I know her through another person. Please describe connection:

      

Student Contact Information

Graduation Year:*
First Name:*
Last Name:*
Address:*
City:*
State:*
Zip:*
Email:
Phone:
School:
Academic Interests:
Athletic
Interests:
Basketball    Volleyball    Softball
Cross Country    Tennis
Additional Comments:



Your Contact Information

Name:
Address:
City:
State:
Zip:
Email:
Phone:
Are you a P.E.O.? Yes No
P.E.O. Chapter
P.E.O. State
Are you a Cottey Alumna? Yes No
Cottey Class Year?


* Required fields




© 2004- Cottey College   •   1000 West Austin, Nevada, Missouri 64772   •   Phone: 417-667-8181   •   Fax: 417-667-8103