Student Referral Form

Please enter the student’s information below and we will send them admission materials about the college. If you have questions at any time you can contact the Admission Office at 800-777-2556 or admission@houghton.edu.

Thanks for your support of your alma mater!

Student’s Information

First Name * Middle Name Last Name * Home Address * City * State/Province * ZIP/Postal Code * Country * Email Phone

Gender

Female Male

HS Grad Year * High School College (if transfer student) Check if child of Houghton alumni

Academic Interests:

Your Information

First Name Middle Name Last Name Home Address City State/Province ZIP/Postal Code Country Email

Check if you would like to receive admission applications and fee waiver cards

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