Gold and White Referral Form

Referrer's Information

First Name

Middle Name

Last Name

Maiden Name (If Applicable)

Geneva Graduation Year

Referrer's Email

Referrer's Phone

How do you know the student?

Relationship Type

Other relationship

*All fields with an asterisk are required.

Please Note: Children or grandchildren of alumni are not eligible for the Gold & White Alumni Grant because the student will be awarded the Legacy Grant totaling $4000 ($1000 per year).

More information about Geneva's Scholarships and Awards

If you would like to refer your child/grandchild, please do so through the Legacy Link.

Student's Information

First Name

Last Name

Gender

Mailing Address

Country

Street

City

Region

Postal Code

Phone

Phone Type

Email Address

Expected High School Graduation Year

What kind of student will they be?

What term do they plan to start?

What year do they plan to start?

*All fields with an asterisk are required.

Additional Information (IF AVAILABLE)

About the Student

Birthdate

High School

Home educated students search using code 999000

School CEEB

What majors are they interested in?

About the Parent or Guardian

Parent First Name

Parent Last Name

Relationship

Parent Email

Did he/she graduate from Geneva?

What year did they graduate?

Aviation Missions
Biblical Studies
Missions
Philosophy
Pre-Seminary Studies
Student Ministry
Biology
Cell and Molecular Biology
Environmental Biology
Environmental Science
Human Biology
Medical Technology
Accounting
Accounting - CPA Track
Accounting Scholars 3+1 BSBA/MBA Track
Aviation Business
Aviation Business - Aerospace Management
Aviation Business - Air Traffic Control
Aviation Business - Professional Pilot
Business Administration
Business Information Technology
Business Scholars 3+1 BSBA/MBA Track
Entrepreneurship
Finance
Human Resource Management
International Business
Management
Marketing
Sport Management
Actuarial Mathematics
Applied Mathematics
Biochemistry
Chemistry
Chemistry - ACS Professional Track
Physics
Communication Design
Communication Disorders
Communication Media & Rhetoric
Computer Information Systems
Computer Science
Computer Science with Cybersecurity 3+1 BS/MS Track
Cybersecurity
Data Science
Embedded Systems
Game Development
Software Development
User Experience (UX) Design
Elementary Level and Special Education
Secondary Level Education - General
Secondary Level Education - Biology
Secondary Level Education - Chemistry
Secondary Level Education - English
Secondary Level Education - Mathematics
Secondary Level Education - Physics
Secondary Level Education - Social Studies History Track
Secondary Level Education - Social Studies Political Science Track
Engineering
Biomedical Engineering
Chemical Engineering
Civil Engineering
Computer Engineering
Electrical Engineering
Environmental Engineering
Interdisciplinary Engineering
Mechanical Engineering
English
English Literature
Writing
Community Development
History
Political Science
Pre-Law Studies
Public Health
Sociology
Music
Music Business
Music Education K-12
Nursing
Independent Major
Undeclared
Undeclared - Business
Undeclared - Fine Arts
Undeclared - Health and Medicine
Undeclared - Liberal Arts
Undeclared - Religious Studies
Undeclared - Social Sciences
Undeclared - STEM Majors
Spanish Minor
Pre-Medical Programs - General
Pre-Dental
Pre-Medicine
Pre-Occupational Therapy
Pre-Optometry
Pre-Pharmacy
Pre-Physical Therapy
Pre-Physician Assistant
Pre-Veterinary
Biopsychology
Criminal Justice Administration
Psychology
Social Services