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Huskie-2-Huskie Student Form

Huskie-2-Huskie Mentoring Program Student Application
Please complete this application in full. You will be contacted by the NIU Alumni Association when a suitable Huskie mentor has been identified. Thank you for your participation in this valuable Alumni program!

Select from the items below.        
First Name:
Last Name:
Email:
Campus Address 1 (if none, type N/A)
Campus Address 2
City:
State:
Zip:
Home Phone
Cell Phone
Permanent Address 1
Permanent Address 2
Anticipated Graduation Year
Major
Expected Degree
Five Areas to Learn From Mentor
Geographical Area of Interest
Occupational Area of Interest
Specific Company of Interest
Additional Comments

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