UCLA CKI Mentee Application 2020-2021

Thank you for your interest in UCLA Circle K's Mentorship System! Please fill out this application to the best of your ability and answer the questions in any way you want. There is no minimum answer length. Don't be afraid to show your personality! ^^


Please keep in mind that you have to be a dues-paid member who joined Circle K in Fall 2020 or earlier to be paired with a mentor.

If you have any questions or concerns, please feel free to contact Sangeetha Ramachandran at uclackimer@gmail.com or (424) 337-2455.
Name: *
e.g. Sangeetha Ramachandran
Gender: *
Phone Number: *
e.g. (951) 275-4356
Year: *
In the 2020-2021 school year
Are you a transfer student? *
Major(s) and Minor(s): *
e.g. MCDB major and Biomedical Research minor
Where do you currently live? *
Please specify building or address and room number. If you are not coming down to UCLA, either provide us with your home address or, if you're not comfortable with that, you can answer with N/A.
What is your hometown? *
City + state, e.g. Torrance, California
Will you be staying at/near Westwood or in your hometown for the rest of the academic year? *
Career Goal(s): *
e.g. Lecturer/PI at university
What organizations, jobs, volunteer work, or internships are you a part of/are interested in? *
e.g. I am interested in Circle K, research, and pre-med organizations!
What other things do you want to experience in your time here at UCLA? *
e.g. I want to go to a football game, join a dance team, and explore LA!
Reflect on a Circle K event you have attended. It can be any that cater to our three tenets of Service, Leadership, and Fellowship. If you have not attended a Circle K event in the past, then discuss a future event you plan on attending and what interested you to it.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy