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Northern Ambassador Nomination
Please complete the following form to indicate your interest in becoming a
Northern Ambassador
or to nominate an NIU student to be invited to apply to the program.
If you have questions about the program or would like to request additional resources, please email
NASupervisors@niu.edu
.
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I am:
I am:
A NIU faculty or staff member nominating a student to become a Northern Ambassador.
A counselor, alumnus or community member nominating a student to become a Northern Ambassador.
Other
Student Information
Student's Email Address
Student's First Name
Student's Preferred First Name (This is the name we'll use in any communications)
Student's Last Name
Referrer Information
What is your relationship to the student?
Referrer First Name
Referrer Last Name
Referrer Email Address
Why do you believe this Huskie is a good candidate for our Northern Ambassador Program?
Submit
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