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MentorSEAS Mentor Form
Sign up to be a Mentor for the 2022-2023 Academic School Year for incoming freshmen & transfers in the School of Engineering & Applied Sciences!
This is a low-commitment, high-impact program that helps connect incoming and continuing engineering students!
* Indicates required question
Email
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Your email
Full Legal Name (First and Last)
*
Your answer
UCLA Logon (the username you put in when accessing myUCLA or CCLE)
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Your answer
Preferred Email (We will use this email for all future communication)
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Your answer
Phone Number (##########)
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Your answer
Do you have a GPA of 2.7 or higher?
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Yes
No
Did you enter UCLA as a transfer student?
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Yes
No
Gender
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Female
Male
Non-binary
Prefer not to say
What is your major?
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Aerospace Engineering
Bioengineering
Chemical Engineering
Civil & Environmental Engineering
Computer Engineering
Computer Science
Computer Science and Engineering
Electrical Engineering
Material Science and Engineering
Mechanical Engineering
Undeclared Engineering
Could you provide mentorship in any of the following categories?
Changing Majors
First Generation
International
LGBTQ
Out of State
Racial Minority in Engineering
Transfer Student
Women in Engineering
Select your 3 favorite activities out of 10 listed below!
*
1st = most favorite, 2nd = second most favorite, etc.
Art/Theater
Hiking/Outdoors
Community Service
Gym
Greek Life
Sports
Video Games
Watching TV/Movies
Music
1st
2nd
3rd
Art/Theater
Hiking/Outdoors
Community Service
Gym
Greek Life
Sports
Video Games
Watching TV/Movies
Music
1st
2nd
3rd
Which of the following best describes an ideal Friday night for you?
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Catch up on sleep/finish up homework
Hang out in a big group of friends
Hang out with your best friend
Party
On a scale from 1-10 how likely are you to recommend the MentorSEAS program to a friend?
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This question is not used in determining your mentee/mentor family
Not Likely
1
2
3
4
5
6
7
8
9
10
Very Likely
How did you hear about becoming a mentor?
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Instagram
Facebook
From a Friend
Email
Other:
Required
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