Student Referral Program

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Program of Choice*
First Name*
Middle Name/Initial*
Last Name*
Preferred Name
Country of Citizenship*
Email*
Phone*
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- Please email me information about your programs and school
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*Important Note: If you are having difficulty submitting this form or do not receive an email confirming your submission, please call us at 1.844.397.0777 or email us at info@easternacademy.ca

Admissions

Our Student Referral Program

Do you know someone who is thinking about changing their career or upgrading their skills?

Eastern Academy would be thrilled to help them meet their goals!

If you refer a future student we’d be happy to reward you with a cheque for $100.

The steps are simple:

Complete the form below or get a paper copy from the campus. Forms must be complete/legible and received by the college before the student starts their program.
Your friend must be new to Eastern Academy. There cannot be a previous application or information sheet on file for them.
After meeting with an Eastern Education Consultant your friend enrolls in a program and stays for at least 30 days.
We’ll mail you a cheque for $100.

See the campus to learn more!

Thank you for your ongoing support of Eastern Academy! We appreciate you.

Complete the form below to refer a friend

Your Information
Name*
First Middle Last
Preferred Name
Email*
Phone*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
I am an...*
Details of Person Being Referred
Name*
First Last
Email*
Phone*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Expected Program
Email
This field is for validation purposes and should be left unchanged.

Request Information

Our Student Referral Program

Complete the form below to refer a friend

Your Information

Details of Person Being Referred

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