Request Information


Do you have
a son or daughter
interested in attending
Southeastern in the future?


Do you have other
relatives or friends
whom you would like Southeastern to recruit?



Fill out the following form for Southeastern's Office of Admissions and Financial Aid. Your special recruit's name will be placed on a list to receive special recruiting materials and personal contact.

 

(Items marked with * are optional)

Student Information

Name:   
Phone: 
Street: 
City:  State:   
Zip: 
*E-mail: 
High School graduation date:  Birthday: 

Student's potential major or areas of interest:



Your Information

Name:   
Phone: 
Street: 
City:  State:   
Zip: 
*E-mail: 
Student's relationship to you: 




Thank you for participating in Refer a Student!

 CONTACT US | CAMPUS MAP | SEARCH & DIRECTORIES | BLACKBOARD | LEONET | WEBMAIL