You must have JavaScript enabled to use this form. First & Last Name * Email Address * Phone Number * Expected Graduation Date * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year2024202520262027202820292030 UC Merced Cumulative GPA * Tell us about yourself. What are your hobbies, interests, personality characteristics, etc.? * Why do you want to be involved in the Lift While You Lead Mentoring Network? * What does "Lift While You Lead" mean to you, especially in relation to women and leadership? * Through your involvement in this program, what do you hope you will gain? What do you hope potential mentees will gain? * Any additional information you would like to share? A Group Interview is required for all applicants. Please identify which Group Interview day/time you will attend. * Tuesday, April 22 from 4-5pm in SAAC 211 Wednesday, April 23 from 2-3pm in SAAC 211 I cannot make either time. Please select when you are available during the 2014-2015 academic year. * Monday, 7:30 - 9:30am Monday, 8:30 - 10:15am Tuesday, 7:30 - 9:30am Tuesday, 8:30 - 10:15am Wednesday, 8:00 - 10:00am Wednesday, 9:00 - 11:00am Thursday, 7:30 - 9:30am Thursday, 8:30 - 10:15am Friday, 7:30 - 9:30am Friday, 8:30 - 10:15am The “Lift While You Lead” Mentoring Network requires a minimum of 6 hours participation per month. Do you agree to that time commitment? * Yes No Unsure May we use the content of this application to write a profile about you, which will be published on the Women’s Programs website? * Yes No I hereby officially sign this document and authorize the release of my academic information and judicial standing for verification. * Sign Full Name Leave this field blank
