PG Interdepartmental Referrals

Please include your first and last name.

Please list your assigned Purdue University Global or Kaplan, Inc. email address.

From the available options, please select that which best describes your working relationship with the student.

From the available options, please select which Department your referral should be routed to.

From the available options, please select the type of referral being submitted.

Using the following format, please provide a short subject for your referral. Preferred Format: [Student Name], [Referral Reason]. Example: Jane Doe, Math Tutoring.

Please provide a detailed summary for your referral. Please include any pertinent information that may be needed to assist the student including the issue at hand, the course(s) of action previously taken, and any action items given to the student ahead of referral.

Please provide the student's CampusVue SyStudentID. The SyStudentID is shown in PG Campus as the Student ID, in Salesforce (SRM) as the SyStudentID, and in Brightspace as the Org Defined ID.

NOTE: if this information is unavailable, the student's name must be provided below.

Please provide the student's first and last name noting both their legal and preferred first name where applicable. Example: Jane (Janey) Doe.

From the available options, please select the school that oversees the student's current program of study.

Using the following format (where possible), please list the student's current program of study. Preferred format: [Degree Acronym] in [Program] - [Concentration] (as applicable). Example: MS in Psychology - Organizational Behavior Management.

If this referral pertains to one or more of the student's current courses, please provide the course code(s) for reference. Example: CM220.

You may use this space to attach any documentation pertinent to your referral, but please be mindful not to include any sensitive or personally identifiable information.