NIU History Department
Mentoring Program
Mentor Application
Applicant Information
Date:
Full Name:
Last
First
M.I.
Email
Phone:
Education
Cumulative GPA:
Hist Dept. GPA:
Courses Take, professor, and grade received:
Course and
Semester
Professor
Grade
Personal Information
Area of Interest:
Any hobbies outside of academics:
Reason for Applying:
Transfer students (yes or no):
Please return this form to Dr. Garver (vgarver@niu.edu) by e-mail or to Zulauf 715 (History Main Office)
in hard copy.