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Hollins Alumnae Recognition Scholarship Referral Form

By completing this form or mailing in a referral card, you will connect your candidate to Hollins, and if she enrolls, qualify her for a scholarship in your name.

 

Student Information
Required fields are in bold.
Student's name:
Address:

Telephone:
E-mail address:
Secondary school:
Year of graduation from high school:
Her academic/extracurricular interests:
Comments:
Personal Information
Required fields in bold.
I refer the above student to the Hollins University admission office. If she applies, is admitted, and enrolls at Hollins, she will receive a $500 Alumnae Recognition Scholarship Award toward her first year's tuition in my name. Horizon students receive $250 for their first semester, provided they enroll at least half time (two classes).
Your name:
Hollins Class of:
Your address:

Your e-mail address:
Your telephone:
Your relationship to prospective student:
Word Verification*
Type the letters you see in the picture below.