All Brains Peer Mentoring

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Hello Bruins!

If you are interested in signing up to get a peer mentor, fill out the form below!

What are the benefits of having a peer mentor at UCLA?

You get paired up with someone who you can talk to about:
-navigating UCLA
-planning for after college/careers
-dealing with social situations/relationship issues
-a bad midterm (we've all been there)
-pretty much anything!

All Brains in collaboration with the UC-Leadership Education in Neurodevelopmental Disorders (UC-LEND) aim to make UCLA an inclusive campus for those with neurodevelopmental disabilities including but not limited to autism and ADHD. Every brain is different. Our goal is to make room for all brains.

Email *

What is your name (and specify your pronouns, if comfortable)? *

What is your student ID? *

What is your phone number? *

What is your preferred method of contact? *

Phone

Why would you want a peer mentor? *

Please indicate if you identify with any of the following? (Can select multiple) *

Has Autism Spectrum Disorder (ASD)

Has Attention Deficit/Hyperactivity Disorder (ADHD)

Has Cerebral Palsy

Has other neurodevelopmental disability

Required

Please indicate if you identify with any of the following? (Can select multiple) *

Transfer Student

Center for Accessible Education Student

LGBTQIA+ Student

International Student

First generation college student

Other:

Required

Please indicate your race *

White American

Black or African American

Native American or Alaska Native

Asian American, Native Hawaiian, or Other Pacific Islander

Other:

Are you hispanic? *

Yes

Prefer not to answer

Year in School *

1st Year

2nd Year

3rd Year

4th Year

5th Year +

Transfer Student (Please specify what year in the "Other")

Graduate Student

Other:

What is your major/minor/graduate area of study? *

What is one part of your identity that you would most like to share with your mentor (ex. race, gender, sexual orientation, first gen, neurodivergent, etc.)? We will do our best to match you with a mentor based on your preferences, but cannot make any guarantees. *

What are some of your interests outside of school? *

How did you hear about us? *

UC LEND

Trainings/Workshops

CAE

Class Announcement

All Brains Website/Social Media

Other

Required

Is there anything else you would like us to know? Do you have any questions?

A copy of your responses will be emailed to the address you provided.

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