Brigette's Technology Consulting and Research Firm
105 Wilson Circle Newnan, GA 30263 USA
770-251-6765
www.brigettes.com
brigettebrenda@aol.com


Collegiate Scholastic Mentoring Initiative

University Referral Program

Thank you For referring me to the following university, I would like to thank:

Dr. Brenda Nelson-Porter
AAN Representative

American InterContinental University (AIU)

Clayton College and State University (Morrow, GA)

Georgia Institute of Technology

Georgia State University

Harvard University

Old Dominion University (Virginia Beach, VA)

University of Phoenix - Online

Walden University-Online

I would like the university to mail an information package to:

Name: 

Address: 

City, GA  Zip: 

Email: 

Phone: 

Occupation: 

Why Not Currently Enrolled In College (Personal information will not be considered; however, this brief statement may be used for/as statistical and textual data that may be published by Brigette's or the University):


Degree The Candidate Wishes To Achieve:

    Associates            Bachelors
    Masters                Doctorates
    Post-Doctorates

I am interested in studying subjects that relate to:
Quarter or Semester The Candidate Wish To Start:

I am interested in receiving information on scholarship: no  yes

Optional Information:    Race:          Gender:        Age: 


Disclaimer: Pressing the Submit Button indicates that the potential candidate is electronically signing the document and would like to receive the selected information and not to be added to any university's email list at this time. Brigette's will not be held liable for what Universities might do with the information provided.

If any university would like to be added to this list, email brigettebrenda@aol.com and provide the link to university's website, phone number, and email address.