Merrill Mentoring Student Interest Form
To better match you with a mentor, please answer the questions on this form. Any information provided here or provided to the mentors will be kept private. You are not required to provide any information that you do not feel comfortable sharing.
First Name
Your answer
Middle Name
Your answer
Last Name
Your answer
UCSC Email
Your answer
Primary Phone
Your answer
Secondary Phone
Your answer
Next
Never submit passwords through Google Forms.
This form was created inside of UC Santa Cruz. Report Abuse - Terms of Service - Additional Terms