Student Success Referrals can be completed by any member of the Kutztown University community. Students can refer themselves.

How to Make a Referral

The KU Student Success Team is committed to forming partnerships with faculty and staff members in order to enhance the student experience at Kutztown University.

If you feel a student could benefit from our services, please contact us at or complete the referral form below. A member of the Student Success Team will follow up with you in a timely manner.  Thank you for ensuring our students have a positive KU experience. 


  1. Click here to access the Student Success Referral Form 
  2. Complete the referral form and click submit 
  3. A member of the Student Success Team will attempt to contact with the student

If you have questions or unable to send the form please contact us at 

 Frequently Asked Questions Concerning a Referral