AGSM Referral Form

Let's start with your information

First Name

Last Name

Email Address

Please tell us about your relationship with Atkinson Graduate School of Management and Willamette University

I am a current AGSM student.

I am a graduate of AGSM and/or Willamette.

I belong to an Atkinson Partnership organization.

Early Career and Career Change Program

MBA for Professionals

When should you graduate from your program?

When did you graduate from your program?

Please tell us to which organization you belong

Thank you for working to helping us find amazing student candidates, we would like to express our appreciation with a gift. Is that okay?
(Our gift to you will be sent upon matriculation of the candidate.)

Yes, please.

No need, but thank you.

Provide us your current mailing address where we may send your gifts. In addition, indicate a size for a t-shirt.

Country

Street

City

Region

Postal Code

T-shirt Size (Unisex)

Candidate

First Name

Last Name

Program of Interest

MBA Early Career or Career Change (ECCC)

Dual Bachelors/Masters (BA/MBA or 3-2 program)

One-year MBA (prequalification required)

MBA for Professionals (MBA-P)

MBA/MS in Data Science (MBA/MSDS)

Doctor of Jurisprudence/MBA (JD/MBA)

Email Address

Mobile phone number

Mailing Address

Check here if you can provide us with a street address.

Country

Street

City

Region

Postal Code

If applicable, current school or employer & job title.

How do you know the candidate?

How long have you known the candidate?

Do you have any additional information about the candidate you would like to relate to us?