St. John's Cadet Referral Program

Step 1: First we need to gather a little information about you.

		Address *
First Name *		City *
Last Name *		State *
Email Address		Zip *
		Home Phone *

Status *
Relationship to Candidate *

If parent of a current student, what is your cadet's name?

Step 2: Now we need to get a little information about the prospective candidate.

First Name *		Age *
Last Name *		Grade *
		Current School *

Step 3: Now we need to get a little information on how to contact the prospective cadet's primary custodian.

		Address *
First Name *		City *
Last Name *		State *
Email Address		Zip *
		Home Phone *

Custodian's Relationship to Candidate *
Custodian's Occupation

"Why do you believe the prospective candidate may be appropriate for St. John's Northwestern Military Academy?"

I have received permission from candidate's parent or guardian to submit this referral

Enter the code shown below

Type the characters into the field without spaces. The tool is case sensitive. This prevents automated systems from registering and increases the security of our network.