Physical Sciences Mentorship Program Application

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Physical Sciences Mentorship Program Application - Jan 2023-June 2023

Application for Mentees
Find more information: https://center.ucsd.edu/mentor-village/mentorship-program

First Name *

Last Name *

Email address *

PID *

Phone *

Gender (optional)

Race/Ethnicity (optional)

American Indian or Alaskan Native

Asian

Black or African America

Hispanic or Latino

Native Hawaiian or Other Pacific Islander

White

Decline to answer

Other (Fill in the Blank)

Clear selection

Expected Graduation Date *

YYYY

Class Level *

Undergraduate Student

Graduate Student

Have you previously applied to the Mentorship program? *

Yes

First Generation College Student

What is your Department *

Math

Chemistry & Biochemistry

Physics

Other:

What is your Major? *

This program will go on through June 2023. Will you be able to make time for a meeting with your mentor until then? *

Yes

Other:

Are you planning to attend graduate school? *

What areas are you seeking mentorship? *

Career guidance

Preparing for Internships

Industry Specific Resume Review

Professional Networking

Industry specific Interview strategies

College to career transitioning

Other:

Required

Tell us about yourself, why you would like to participate in the mentorship program and list your top three career goals in 500 words or less. *

Please indicate if there is anything else we should consider when matching you with a mentor.

Type your full name if you have read the Winter 2023 Mentor-Mentee Agreement: https://docs.google.com/document/d/1JjQPpoCKqjdbgQVOCmDgrZZT8M8LM-Vv/edit?usp=sharing&ouid=102927167768625810737&rtpof=true&sd=true *

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