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UHD Connections: Mentoring Program


Connections Mentee Application Form


For more information, email Connections Mentoring Program at Branden Kuzmick.  

First Name:

 

 
Last Name:    
UHD Student ID #:    
Intended Major:    

Email:

   
Alternate email:    
Phone Number:    
Alt. Phone Number:
List three goals you intend to accomplish while going to college and completing your first year at the University of Houston-Downtown:

   

Shirt Size:

 


   
Dietary Restrictions:
(
Please list Dietary Restrictions, Allergies, or Special Diets)
   

                      



 

 

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Last updated or reviewed on 9/11/14

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