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AvenueB Mentor Application
Contact Info
Name
First
Last
Email
Phone
Please choose a mentor category below:
- Select -
Industry Mentor
Faculty Mentor
Peer Mentor
Position Title
Employer/Institution
Address
Address
City/Town
State/Province
- Select -
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces (Canada, Europe, Africa, or Middle East)
Armed Forces Americas
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
ZIP/Postal Code
Optional Questions
Gender
- None -
Female
Male
Trans Female/Trans Woman
Trans Male/Trans Man
Genderqueer/Gender Non-Conforming
Different Identity
No Response
Ethnicity
American Indian or Alaskan Native
Asian or Asian American
(Bangladeshi, Cambodian, Chinese, Filipino, Indian, Indonesian, Japanese, Korean, Laotian, Pakistani, Taiwanese, Vietnamese, other Asian Identity)
Black
(African American, African, Afro-Caribbean, other Black or African American)
Latinx or Chicanx
Native Hawaiian or Other Pacific Islander
(Guamaniam, Native Hawaiian, Samoan, Other Native Hawaiian, or Pacific Islander)
White
Mena
(Morocco, Mauritania, Algeria, Tunisia, Libya, Egypt, Sudan, Lebanon, Palestine, Jordan, Israel, Djibouti, Iraq, Kuwait, Saudi Arabia, Yemen, Bahrain, Qatar, UAE, Oman, Iran, Pakistan, Afghanistan)
Prefer not to answer
Additional Info
Are you a 1st Generation College Student?
Yes
No
Are you able to drive to UC Davis or one of our Community College Districts to meet your mentee in person?
Yes
No
Do you have preferred mentee location?:
- Select -
No Preference
UC Davis
Los Rios District
Yuba District
Contra Costa District
San Joaquin Delta
Why do you want to be an AvenueB Mentor?
Please briefly describe your interests, education, work experiences, professional communities, etc. to best match you with a student.
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