Thank you for your interest. Please complete this form.
It will be emailed to LAUC-SD_Mentor_Committee at ucsd.edu.
Fields marked with an asterisk (*) are required.
* 1. Please describe your work experience in the information field (or send a resume).
1a. Attach a resume to be sent here (optional).
2. Type of institution(s) you have had experience in (check all that apply).
If other, please specify.
* 3. Have you had experience in a mentoring relationship as either a Mentor or Mentee? If so, when and where?
4. Is there any additional information that might help us match you successfully with a mentee?
All information on this form will be treated confidentially and it will not
be shared with anyone outside the commitee.