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 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:
Anticipated Graduation Date:
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?