You must have JavaScript enabled to use this form. First & Last Name * Email Address * Phone Number * Expected Graduation Date * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20242025202620272028 UC Merced Cumulative GPA * Why do you want to return as a Lift While You Lead mentor? * What challenges did you face as a mentor this school year? How will you work to be a better mentor? * How have your experiences as a mentor shaped your definition of "lift while you lead" this year? Please use specific examples. * As a returning mentor, how will you use your experience to positively contribute to the LWYL program? * Any additional information you would like to share? 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
