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Referral Program

Referrals are our best source of qualified applicants. After all, no one knows better than those who have Panther Pride. Whether you are an alumni, student or Panther friend, you know what it takes to succeed in our programs.

Think about the difference your referral could make to someone interested in starting or continuing his or her education. We’re looking for exceptional candidates who have the drive, ambition and ability to be successful in our program—and would be valuable additions to the FIU network.

Simply provide contact information—for yourself and the person you are referring. Select the program that they would be a great match for by using the drop down menu on the form below. We'll reach out to them, let them know you recommended them, and invite them to learn more. If you want to learn more about the programs currently being offered, visit fiuonline.com/programs.

Thanks again for all you do to share your experience with prospective online degree students.

We appreciate your continued support! 

In the spirit of gold and blue,
Your friends at FIU Online

  • Recommender Information
  • Potential Applicant Information
setThankYouURL($domain.'student/referral-program/thank-you.php'); //set the oid as a hidden field that way salesforce knows where to save the data to /*echo $api->input('oid', array( 'type' => 'hidden', 'value' => '00DA0000000KSei' ));*/ echo $api->input('oid', array( 'type' => 'hidden', 'value' => '00DA0000000KSei' )); echo $api->input('external', array( 'type' => 'hidden', 'value' => '1' )); echo $api->input('Campaign_ID', array( 'type' => 'hidden', 'value' => '701F0000000dczZ' )); echo $api->input('recordType', array( 'type' => 'hidden', 'value' => '012A0000000RH6x' )); echo $api->input('Lead_Type__c', array( 'type' => 'hidden', 'value' => 'Student - for credit' )); echo $api->input('lead_source', array( 'type' => 'hidden', 'value' => 'Web' )); echo $api->input('Source_Form__c', array( 'type' => 'hidden', 'value' => 'Referral Program' )); echo $api->input('rating', array( 'type' => 'hidden', 'value' => 'Warm' )); echo $api->input('00NF0000008qHP1', array( 'type' => 'hidden', 'value' => $domain.'student/referral-program' )); //Recommender Info //recommender name ?>

Recommender Personal Details

input('Rec_Name__c', array( 'label' => '* Name', 'required' => true, 'validation' => array('name'), 'validation_msg' => 'Invalid Name', )); $collegeOptions = array( 'College of Architecture and the Arts'=>'College of Architecture and the Arts', 'College of Arts and Sciences'=>'College of Arts and Sciences', 'College of Business Administration'=>'College of Business Administration', 'College of Education'=>'College of Education', 'College of Engineering and Computing'=>'College of Engineering and Computing', 'College of Law'=>'College of Law', 'College of Nursing and Health Sciences'=>'College of Nursing and Health Sciences', 'Robert Stempel College of Public Health and Social Work'=>'College of Public Health and Social Work', 'Herbert Wertheim College of Medicine'=>'Herbert Wertheim College of Medicine', 'FIU Libraries'=>'FIU Libraries', 'Honors College'=>'Honors College', 'School of Hospitality and Tourism Management'=>'School of Hospitality and Tourism Management', 'School of Journalism and Mass Communication'=>'School of Journalism and Mass Communication', 'Undergraduate Education'=>'Undergraduate Education', 'University College'=>'University College', 'University Technology Services'=>'University Technology Services', 'Other'=>'Other', ); $campus= array( 'MMC'=>'MMC', 'BBC'=>'BBC', 'Engineering Center'=>'Engineering Center', 'Broward Pines Center'=>'Broward Pines Center', 'Downtown Brickell' => 'Downtown Brickell', 'Miami Beach Urban Studios'=> 'Miami Beach Urban Studios', 'Wolfsonian FIU'=>'Wolfsonian FIU', 'Other'=>'Other' ); //college of the recommender echo $api->input('Rec_College__c', array( 'type' => 'select', 'class'=>'chosen-select ', 'label' => 'Alumni / Current Student of', 'options' => $collegeOptions, 'empty' => 'Select College')); //recommender campus echo $api->input('Rec_Campus__c', array( 'type' => 'select', 'class'=>'chosen-select ', 'label' => 'Campus Location', 'options' => $campus, 'empty' => 'Select Campus')); // recommender year of graduation echo $api->input('Rec_Year_Graduated__c', array( 'label' => 'Class Year' )); // recommender company echo $api->input('Rec_company__c', array( 'label' => 'Company Name' )); // recommender job title echo $api->input('Rec_Title__c', array( 'label' => 'Title' )); // recommender email echo $api->input('Rec_email__c', array( 'label' => '* Email', //set a custom label 'required' => true, 'validation' => 'email', 'validation_msg' => 'Invalid Email', )); // recommender phone echo $api->input('Rec_phone__c', array( 'label' => '* Phone', 'required' => true, 'placeholder'=>'7778887777' )); ?>

Fields marked with an * are required.

Potential Applicant Personal Details

input('first_name', array( 'label' => '* First Name', 'required' => true, 'validation' => array('name'), 'validation_msg' => 'Invalid First Name', )); echo $api->input('last_name', array( 'label' => '* Last Name', 'required' => true, 'validation' => array('name'), 'validation_msg' => 'Invalid Last Name', )); $options_programs = array( 'BBA Online'=>'Business Administration', 'BA Comm Arts'=>'Communication Arts', 'BS CJ'=>'Criminal Justice', 'BS Early Child Dev'=>'Early Childhood Education', 'BA IS'=>'Interdisciplinary Studies', 'BS Hospitality'=>'Hospitality Management', 'BA Psych'=>'Psychology', 'BS Rec and Sport Mgmt'=>'Recreational Therapy', 'RN to BSN'=>'RN to BSN – Nursing', 'MSAE'=>'Adult Education and Human Resources', 'MS Network Security'=>'Computer Engineering: Network Security', 'MSCM'=>'Construction Management', 'CMBA'=>'Corporate MBA', 'MSCJ '=>'Criminal Justice', //graduate 'MSCI Online'=>'Education: Curriculum and Instruction', 'MSSE Online'=>'Education: Special Education', 'MS Engineering Mgmt'=>'Engineering Management', 'EMSHM'=>'Executive Master of Hospitality Management', 'HCMBA Online'=>'Healthcare MBA', 'B Health Services Admin'=> 'Health Services Admin', 'MSHM'=>'Hospitality Management', 'MSHRM Online'=>'Human Resources Management', 'MIB Online'=>'International Business', 'MSGSC Online'=>'Global Strategic Communications', 'MSME'=>'Music Education', 'MPA'=>'Public Administration', 'MSRE Online'=>'Real Estate', 'BBA Online'=>'Business Administration', 'BA Comm Arts'=>'Communication Arts', 'BS CJ'=>'Criminal Justice', 'BS Early Child Dev'=>'Early Childhood Education', 'BA IS'=>'Interdisciplinary Studies', 'BS Hospitality'=>'Hospitality Management', 'BA Psych'=>'Psychology', 'BS Rec and Sport Mgmt'=>'Recreational Therapy', 'BA Religious Studies'=>'Religious Studies', 'RN to BSN'=>'RN to BSN – Nursing', 'BA Sustainability & Environment'=>'Sustainability & Environment' ); echo $api->input('Program_of_Study__c', array( 'type' => 'select', 'required' => true, 'class'=>'chosen-select ', 'label' => '* Program being referred to', 'validation_msg' => 'Invalid', 'options' => $options_programs, 'empty' => 'Program of Study')); echo $api->input('email', array( 'label' => '* Email', //set a custom label 'required' => true, 'validation' => 'email', 'validation_msg' => 'Invalid Email', )); echo $api->input('phone', array( 'label' => '* Phone', //set a custom label 'required' => true, )); //output a simple captcha to verify user is human echo $api->captcha(); ?>

Fields marked with an * are required.

submit('Submit', array('class'=>'submit action-button button'));?>
end(); ?>