Nominate a student

Talented underrepresented students in the fifth, sixth, or seventh grade who could benefit from Buffalo Prep’s programs can be referred by schools, community centers, churches, or anyone, really. You can fill out the Student Nomination Form and mail, fax, or email the completed form to Buffalo Prep. Or fill out the form below.

By mail:
Attn: Elizabeth Guzmán
Buffalo Prep
3485 Main St.
105 Allen Hall, University at Buffalo South Campus
Buffalo, NY 14214

By fax: 716.829.2735

By email: eguzman@buffaloprep.org

Once a nomination is received, we will send the nominee an informational packet about the program and upcoming information sessions, as well as an application for admission. Please contact us with any questions.

Your Name*
First Last
Your Email*
Your Phone Number*
Student's Name*
First Last
Parent's Name
First Last
Student's Address
Street Address City State ZIP Code
Student's Phone Number
School
Grade
Additional Information
* Indicates required field.
Email
This field is for validation purposes and should be left unchanged.

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Nominate a student

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