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Mentee Application - 2025-2026 UCLA Fielding School of Public Health Mentorship Program

Please complete this application for the 2025-2026 Mentorship Program.

If you are an alumnus and would like to apply as a mentor, please apply here.
1.First Name(Required.)
2.Last Name(Required.)
3.Student ID (UID)(Required.)
4.Please indicate your personal pronouns. Read more about pronouns here. Your response to this question is optional. This will be shared with your mentor.
5.Ethnicity
6.Do you identify as a first generation college student?
7.In an effort to support our international student population, we would like to include an option to be matched with an alumni mentor that has a similar background and/or educational experience. If you are interested in being matched with a mentor that could share his/her own experience as a grad student, resources, using OPT/CPT, getting employer sponsorship, etc., please indicate so below.
8.Preferred Email(Required.)
9.Preferred Phone(Required.)
10.Linkedin Profile
11.Intended FSPH degree

Please note mentoring is only open to full-time MPH students at this time.(Required.)
12.Select whether you are an incoming or continuing student.(Required.)
13.Intended graduation year(Required.)
14.If you are in a joint degree program, please specify which program(Required.)
15.If you already have a Master's degree or additional degrees please list them here:
16.Which industry do you plan to work in after you graduate?