Power and Partnership: Faculty-Student Mentorship
Please fill out the following form in order to reserve your spot at the workshops for Power and Partnership: Faculty-Student Mentorship.  Please note all workshops will be offered by Zoom.  Please note that in order to receive an EMPOWER Certificate or recognition at one of our COE Events, you must attend all three workshops for this module.

If you require an accommodation for effective communication (ASL interpreting/CART captioning, alternative media formats, etc.) to fully participate in this event, please contact Evan Storey at [estorey@berkeley.edu] with as much advance notice as possible and at least 7-10 days in advance of the event.
Email *
Name *
Pronouns
Email *
Do you require accommodation for effective communication (ASL interpreting/CART captioning, alternative media formats, etc.) to fully participate in this event? *
Role *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of UC Berkeley. Report Abuse
Google Forms