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Spring 2020 Success Mentor Program | Mentee Application
To be considered for the Success Mentor Program, please complete this application.
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* Indicates required question
Email
*
Your email
First Name
*
Your answer
Middle Name
Your answer
Last Name
*
Your answer
Student ID Number
*
Your answer
UC Merced Email
*
Your answer
Phone Number
*
Please list a phone number that your mentor or SMP staff may reach you at.
Your answer
What is the best way for a Success Mentor to contact you?
*
Text
Email
Phone Call
Other
What is your housing status for the fall semester?
*
On Campus Housing (confirmed)
On Campus Housing (wait listed)
Off-campus (apartment or house in the city of Merced)
Commuter (commuting from outside the city of Merced)
What is your major?
*
Your answer
When is your birthday?
*
MM
/
DD
Have you applied to join the Fiat Lux Scholars Program?
*
Yes
No
Where you in the Summer Bridge Program?
Yes
No
Clear selection
Are you enrolled in a USTU Section? If yes, which one?
No
Wednesday: 10:30am to 11:20pm
Clear selection
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