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First-Year Referral Form 2025-26
Are you or someone you know planning to attend UVA as a first-year student or transfer student in 2025? Or looking to get connected to a Christian roommate at UVA?
We'd love to connect! Let us know and we will reach out with more information.
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* Indicates required question
Your Name
*
Your answer
Your Email Address
*
Your answer
Your Phone Number
Your answer
Your relationship to the incoming student:
*
Your answer
Student's Name
*
Your answer
Student's Email Address
*
Your answer
Student's Gender
*
Male
Female
Student's Phone Number
Your answer
Check this box if you or your student is looking to get connected to a Christian roommate:
Note: Selecting 'Yes' means you agree to let us share your contact details with other students seeking roommates.
Yes
Parent's Name
Your answer
Parent's Email Address
Your answer
Parent's Phone Number
Your answer
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