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1701 North State Street  Jackson, MS 39210-0001  (800)352-1050  (601)974-1000
Millsaps College

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Millsaps College Student Referral Form

The aim of this program is to increase applications, and as such, referral forms submitted after a student's application has been submitted will not be considered. Students may be awarded either a Millsaps Referral Scholarship OR a Legacy Scholarship, but not both. Click here for Millsaps Referral Scholarship FAQ. Even if the student has already been admitted, we ask that you still complete this form.   
Your Information:
* = Required Fields. Please submit a separate form for each referral you would like to submit.

*How do you know the student (please select one)?
Prospective Student Information:
Student's Gender
*Student's Birthdate

Entry Term
Student Type
Transfer student referrals are encouraged, but please note that transfer students do not qualify for Millsaps' Referral Scholarship.
Parent Information:
* = Required Fields.  Please submit a separate form for each referral you would like to submit.
Thank you for taking the time to complete this form. Upon successful submission of this form you will receive a web confirmation message.