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The following page is a blank template with a header that contains a quicklinks jump menu and the search UHD function. Page sections are identified with headers. The footer contains all required links, contact and emergency information.

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:    


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)




Page maintained by University College

Last updated or reviewed on 11/4/14

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