SPACES Alumni Tracking Form
SPACES Alumni Tracking Form
Name
Name
*
First
Last
Email
*
Phone
Phone
*
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Affiliation
*
Affiliation
Graduate Student
Staff
Faculty
Community Member
Alumni
Graduate Students & Faculty: Please name your department and field of study
Staff: Please name your department & institution
Alumni Engagement
UCSD Degree Awarded
Graduation Year
Are you an SD local? If not, where do you live? (Country, state, and city)
Describe your undergraduate UC San Diego involvement. (Extracurriculars and where you worked)
I am interesting in supporting
I am interesting in supporting
Access Programs: K-14 students accessing higher education
Retention Programs: undergraduate students' retention through providing academic, career guidance, mentorship, wellness, employment opportunities
Community Programs
Grants & Donations
Collaboration with SPACES
Other
Other
I can be a resource for:
I can be a resource for:
Employment opportunities
Graduate school mentorship
Career panels
Marketing SPACES Alumni events
Community involvement in San Diego
Job Shadowing
Volunteering for High School Conferences
Speaking engagements
Trainings/Workshops
Provinding tangible resources
Fem/Mentoring undergraduates
Other
Other
Describe your current employment & community/civic involvements
Answer either question: Why do you do the work that you do? or How do you give back to your community?
Communication
This is the description of your section break.
How did you hear about SPACES?
Upload Yearbook Picture Here:
Attach Files
I would like to be on the SPACES mailing list
I would like to be on the SPACES mailing list
Yes
No
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