NUM Buddy Program Signup Form 2016-17
Welcome to the NUM Buddy Program! New student? We will match you to a wise upper-year student who will be able to mentor you through your first year. Wise, experienced Neuro veteran? We will match you to a first-year student! We throw lots of fun get-togethers throughout the year around Montreal that you won't want to miss! Filling out this form will enter you to be matched with a buddy for a whole year.

**Please keep in mind this is an year-long program/commitment !

I'm interested in: *
Your Name *
Your answer
Preferred Email *
Your answer
Phone Number
Your answer
Neuro Program *
What is your academic year? *
What is your stream? *
We will try to match you with someone in your stream.
What are you looking for in a buddy?
Your answer
Do you have a buddy already in mind?
Please put their full name if you already know who you would like to buddy up with!
Your answer
Any suggestions for Buddy Events?
Your answer
What is your favourite kind of ice cream?
Your answer
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