Spring 2019: Faculty Mentoring Program - Table Talk Application Form

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Thank you for your interest in the Spring 2019 Table Talk Student-Faculty Dinners Program! This program is an opportunity for EOP students to receive personalized mentorship from a faculty member over the course of three dinners.

Please note: this application does not guarantee your participation in the program. You will be e-mailed if you are selected to participate in the program.

Application due date: April 15, 2019
***
In order to participate in this program you are required to attend the following:

Orientation: April 19, 2019 at 10:00am, Location: TBD

Each dinner will be held with the same professor. The professors (and the dates and locations) are listed below:

1) Professor Felice Blake (English Department)
Wednesday April 24, 6:00 - 7:30pm, Kerr Hall 1150
Wednesday, May 1, 6:00 - 7:30pm, Kerr Hall 1150
Wednesday, May 15, 6:00 - 7:30pm, Kerr Hall 1150

2) Professor Dolores Inés Casillas (Chicana and Chicano Studies Department)
Wednesday, May 8, 6:00 - 7:30pm, Kerr Hall 1150
Wednesday, May 29, 6:00 - 7:30pm, Kerr Hall 1150
Wednesday, June 5, 6:00 - 7:30pm, Kerr Hall 1150

Questions? Please email Yasmine Dominguez-Whitehead (OSC Student Activities Coordinator) ywhitehead@ucsb.edu

First Name: *

Last Name: *

UCSB E-mail: *

Perm Number (first six digits): *

Cell Phone Number: (For "day-of" reminder texts) *

Class Standing: *

Freshman

Sophomore

Junior

Senior

Other:

Are you a transfer student?

Yes

I'm not sure.

Clear selection

Are you an EOP student? *

Yes

I am not sure.

Have you participated in Table Talk or Dining with Faculty before? *

Yes

What is your major/minor? (indicate if you are undeclared/undecided) *

If you are undeclared/undecided, what fields are you possibly interested in?

Please check any summer programs that you participated in before your first year at UCSB. *

FSSP (Freshman Summer Start Program)

STEP (Summer Transitional Enrichment Program)

AS SIRRC GSO (Associated Students Student Initiated Recruitment and Retention Committee GUIDES Summer Orientation)

Other:

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