* 1. What is your full name?

* 2. What is your status?

* 3. What is the name of the student group for which you are requesting training?

* 4. List three choices of dates with accompanying times for training.

* 5. How many students do you expect to attend training?

* 6. What is your contact information and/or the contact information of the person who will be handling logistics (for example, the room) for training?

Please submit your request for training at least two weeks in advance. If you have any questions or need additional information, contact Lisa Yu at lisa.yu@ucr.edu. Though it may or may not be possible to honor your exact request, Lisa will follow up nonetheless.

Thanks for your interest!

http://wrc.ucr.edu/programsandservices/Pages/PeerMentor.aspx
(951) 827-3337

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