Sparky's Allies Referral
Faculty/Staff Referral to the USC Sparky's Allies Peer Mentoring Program
Please complete the questions below to refer your student the Sparky's Allies Peer Mentoring Program.
1. Name of Referee:
2. Last Name of Student:
3. First Name of Student:
4. Student's UIC Email:
answer must be an email address
5. Student's Major(if known):
6. What are you referring the student for?
7. Would you like the student to know who referred them?
It doesn't matter
Enter email address to receive a copy of this Form.
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