Network Connector Application
Name
*
First Name
Last Name
NUID
Email
*
example@example.com
Co-op City
*
Co-op Employer
*
Term and Year (i.e. Spring and Summer I 2025)
Please list your past event/program planning experience:
*
Please list any clubs/organizations you are involved with::
*
Please list any leadership roles:
*
Additional supporting information (optional):
Attach Resume (optional)
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