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Umoja at UCI - Interest Form
Thank you for your interest in the Umoja Program at UC Irvine!
Please fill out and submit this brief form and we will be sure to follow up with you regarding any questions you have about the program.
* Indicates required question
First Name
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Your answer
Last Name
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Your answer
Student ID Number (if you are a current student)
Your answer
Email (UCI Email if you have one)
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Your answer
What Community College did you attend?
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Your answer
Class Standing
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Incoming student
1st year Transfer
2nd year Transfer
3rd year + Transfer
Are you part of any other Student Success Initiatives Programs? If so, which one?
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Your answer
What Type of Support are you hoping to receive from being in the Umoja program at UCI?
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Your answer
Any Comments, Questions, or Concerns?
Your answer
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