USD family at the Legacy statue

Student Referral Form

Know a student who would make a great Coyote? Let us know.

Prospective Student Information
Student's Preferred First Name:

Address:
City:
State:
Zip Code:


High School:
GED/HS Grad Year:
Department or Program of Interest:
Entry Year:
Entry Term:
Previous College Attended:
Military Background
Referrer's Information First Name:
Last Name:
Address:
City:
State:
Zip Code:
Phone Number:
Email:
Relationship to Student:
Are you a USD Alum:

Last Name at Time of Graduation:
Year of USD Graduation:
Other Family That Are USD Alumni: