BMES Mentorship Program Application (Second Cycle)
Welcome to the mentor-mentee application form! If you were unable to sign up the first time around, this is your chance! First and second year students of UCSD will be mentees, while third year and above students will be mentors. This application is meant to help us put together compatible groups, so please answer honestly! You may be added to already existing groups or new groups may be formed depending on the amount of responses. Due Friday, January 13, 2017 at 11:59pm.

If you have any questions in regards to this application form, please contact Kathy Kang ( or Nikki Chan (

First Name *
Your answer
Last Name *
Your answer
Preferred E-mail *
Your answer
Major *
Year *
If you are a transfer, please say so in the "other" option below (e.g. first year transfer)
College *
If you were included in the family system previously, what family were you in? *
To what extent do you see yourself participating in the mentorship program? *
Briefly describe your career goals (ie: Industry, Pre-Health, Unsure, etc.) *
Your answer
Favorite Food(s)? *
Your answer
Indoors or Outdoors? *
Early Bird or Night Owl? *
Hobbies? *
Your answer
Are you a paid member of BMES? *
You MUST be a paid member of BMES to be part of the mentorship program! If you haven't already become a member, you can message/email our lovely VP Internal, Prashila Amatya ( or visit any of the exec board's office hours.
Additional Comments
Is there anything else you want us to know? Please include any preferences for mentors/mentees or let us know if you strongly prefer not to be with someone (everything is confidential!).
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms