Journey Mentor Profile

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