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This form may also be printed and faxed to (313) 593-5552, ATTN.: Office of CASL Administration or call (313) 593-5490. Or it may be mailed to: Ms. Sue Gedert, University of Michigan-Dearborn, CASL Office, 4901 Evergreen Rd., Dearborn, MI 48128.


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Please fill out the form below to find out about CASL Alumni Volunteer Opportunities:


Name:

Street Address:

City:

State:

Zip:

Home Telephone Number:

Business Telephone Number:

I am interested in learning more about (Check one or more):

Mentoring


For mentoring purposes please provide:


UM-D Major:

Any Graduate Degrees:

Your Current Job:

Job Shadowing

Student Recruitment Fairs


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