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HUSKIE FANS WANTED!

Northern Illinois University is seeking to update its database of former Huskie student-athletes and fans so that we can contact you more effectively and communicate NIU Athletics and sport-specific activities.

Please provide the information below so we can keep in touch. If your home or employment information changes in the future, please resubmit.

Thanks!

Personal:


Salutation:

First Name (Required):

Last Name (Required):

Maiden Name:

Address 1:

Address 2:

City:

State:

Zip Code:

Home Phone:

Preferred Email (Required):


I am a:

Year Graduated:

Sports Played and Years:

Business:

Business Title

Business Name

Business Address 1

Business Address 2

Business City

Business State

Business Zip Code

Business Email

Specialty

Professional Achievements

Questions/Comments Box

   

 
 
 
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