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!
Email *
Full Legal Name (First and Last) *
UCLA Logon (the username you put in when accessing myUCLA or CCLE) *
Preferred Email (We will use this email for all future communication) *
Phone Number (##########) *
Do you have a GPA of 2.7 or higher? *
Did you enter UCLA as a transfer student? *
Gender *
What is your major? *
Could you provide mentorship in any of the following categories?
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
Which of the following best describes an ideal Friday night for you? *
On a scale from 1-10 how likely are you to recommend the MentorSEAS program to a friend? *
This question is not used in determining your mentee/mentor family
Not Likely
Very Likely
How did you hear about becoming a mentor? *
Required
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