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Northern Illinois University

College of Business - NIU

Mentor/Coaching Application Form

**NOTE: The application and reference letter forms are experiencing some technical difficulties, please email jkohn101@gmail.com if you are interested in the Management Coaching Network.

Please complete and submit the following online form to apply to the Management Coaching Network

Mentor/Coaching Application
First Name:
Last Name:
Z-ID Number:
Date of Birth:
Current Address:
Email Address:
Primary Phone Number:
Major/Minor:
Anticipated Graduation Date:
GPA:
Classes Enrolled in:
Please list any activites/organizations you are a part of:
What leadership experience do you have?
Why do you want to be a mentor?
Tell us about an experience forming a relationship with a stranger:
How does your personnal career goals influence your studies/major?