SPACES Alumni Tracking Form

Name Name * First Last
Email *
Phone Phone * - ### - ### ####
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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SPACES Alumni Tracking Form

SPACES Alumni Tracking Form

Alumni Engagement

Communication