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Thank you for volunteering to share your experience and expertise with current UCR students interested in pursuing a career in your industry! Please fill out the information below for the S.A.M. program.
First Name
Last Name
Gender Identity
Man
Woman
Transgender
Genderqueer
Non binary
Would prefer not to disclose
Intersex
Other (Please specify)
Email
LinkedIn URL (If you have one)
Work Phone
Preferred Form of Contact
Email
Phone
Video Call/Skype
Other (Please specify)
Best time of day for student to contact you:
Career Field/Major in school
Employer/Company Name
Title/Position
Years of Experience
Which of the following do you feel you can offer a potential mentee? (Check all that apply)
Personal Support/advice for school related issues
Assistance with career planning
Assistance with job seeking/interviewing skills
Discussion on career alternatives
Networking opportunities
Other (Please specify)
Are you willing to mentor more than one student this year?
Yes
No
Briefly describe your professional experience
We want to provide an alumni pairing that shares more than just a career field. If comfortable sharing, do you identify with any of the following identities?
Transfer Student
First Generation Student
International Student
Veteran or military affiliated community
Parent
Student Athlete
TRIO Scholar
Person with a disability
LGBTQ+
Are you an alumnus of the University of California, Riverside?
Yes
No
How did you hear about the SAM program?
What motivates you to mentor current UCR students?
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