AvenueE Mentor Application

Contact Info

First

Last

Phone

Please choose a mentor category below:

Position Title

Employer/Institution

Address

City/Town

State/Province

ZIP/Postal Code

Optional Questions

Gender

Different Gender Identity

How do you self-identify?

Please select the Asian racial/ethnic subgroup you identify with.

Please select the MENA racial/ethnic subgroup you identify with.

Please select the racial/ethnic subgroups you identify with.

Please Specify: Ethnicity or race not listed above.

Additional Info

Are you a 1st Generation College Student?

Yes

Are you able to drive to UC Davis or one of our Community College Districts to meet your mentee in person?

Yes

Do you have preferred mentee location?:

Why do you want to be an AvenueE Mentor?

Please briefly describe your interests, education, work experiences, professional communities, etc. to best match you with a student.

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