2020-2021 Delegate Mentor Program Pilot Sign-up
Welcome to the Graduate Assembly! If you have been selected to serve as a Graduate Assembly Delegate or Alternate for your academic department, group, or program, please fill out this form.
Email address *
Part 1: Delegate Information
Name *
Department, Group or Program *
Degree Type *
e.g., PhD, MA, MPP, JD, etc.
Berkeley Email *
Contact Phone # *
Preferred Gender Pronouns
e.g., he/him/his, she/her/hers, they/them/theirs, etc.
I am a: *
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