Journey Mentor Profile

First Name:
Last Name:
ID #:		Email:
Gender:	Male Female	Age:
Date of Birth:		Major:
Classification:	Freshman Sophomore Junior Senior Other Anicipated Graduation:	Current Phone # (ext):	Box #:
Fall Housing Assignment :
Home Address:
Address 2:
City:	State:  Zip:	Home Phone:
Cell Phone:		Interests/Hobbies:
Do you plan on being an IWU athlete? Yes No