UCI Women and Minorities in STEM Mentorship Program
NOTE: We are not assigning mentors and mentees until at least Fall 2017 quarter (not active during the summer).

First 30 sign-ups receive a "This is what a scientist looks like" t-shirt!

Sponsored by Discover Science Initiative (DSI) @ UCI and the American Association for University Women (AAUW) @ UCI.

This program aims to address Title IX issues through funding by the AAUW LAF Campus Outreach Grant.

Are you interested in being a mentor or mentee? *
Full Name *
E-mail Address *
What school are you in? *
What is your major or department?
What are you looking to gain from the mentorship experience? Grads - please answer what opportunities you can offer; undergrads - please select what opportunities you are interested in gaining mentorship in *
Required
How often would you like to meet with your mentor/mentee? (multiple answers okay) *
Required
T-shirt size (unisex)
Gender (this information is for program reporting purposes only)
Ethnicity (this information is for program reporting purposes only)
Race (this information is for program reporting purposes only)
Senior undergrads: Would you be willing to serve on a panel to advise undergrads on various research and extra-curricular opportunities that you found helpful in your career?
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