Mentoring Excellence Program Interest Form
This form is for UCI graduate students and post-doctoral scholars interested in the Mentoring Excellence Program
Full Name: *
Your answer
Preferred Name *
Your answer
UCI Email: *
Your answer
UCI ID Number: *
Your answer
Please select one: *
Are you participating as a peer mentor for any of Graduate Division's mentoring programs? Please select one. *
Please select your academic school. *
Program (Graduate Students) or Position (Postdoctoral Scholars): *
Your answer
Year in your program/position: *
ex. 5th
Your answer
What skills do you wish to learn as a mentor? *
Your answer
How did you hear about this program? *
Your answer
Which series are you applying for? *
Priority enrollment will be given to students and postdocs participating in Graduate Division mentoring programs.
Are you making up sessions? If so, please check-off the sessions you need to make up.
AGREEMENT *
By checking both boxes you are confirming you have read and agree to both statements.
Required
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