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Refer A Friend 1

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Refer a Friend
Want to refer someone you think might benefit from the free services at the EOC? Fill
out the form below and we will contact them within 3-5 business days.
EOC Referral Form
Please fill out the form below to refer a friend to the EOC.
Your Name
First Last
Your E-Mail
Friend’s Name
First Last
Friend’s E-Mail Friend’s Phone
Additional Information
Anything else we should know about this referral. (Limit 200 characters.)
EOC is funded 100% by the U.S. Department of Education. Total dollar amount of Federal Funds awarded for Grant Period (2011-2016) is
$1 Million Dollars. EOC is also supported by the Kansas Board of Regents College Access Challenge Grant funding.
Notice of Nondiscrimination
Wichita State University does not discriminate in its programs and activities on the basis of race, religion, color, national origin, gender, age,
sexual orientation, marital status, political affiliation, status as a veteran, or disability. The following person has been designated to handle
inquiries regarding nondiscrimination policies: Director, Office of Equal Employment Opportunity, Wichita State University, 1845 Fairmount,
Wichita KS 67260-0205; telephone (316) 978-6791.
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Refer A Friend 1

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Completed 11 March 2020

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