You must have JavaScript enabled to use this form. Peer Mentor Name * - Select -Sarai RodriguezAmandip SinghAnnabel VuSergio Cabrales Student ID Number * Student Academic Year * - Select -FirstSecondThirdFourth Primary Major * - Select -AnthropologyCognitive ScienceEconomicsEnglishGlobal Arts Studies ProgramHistoryLiteratures and CulturesManagementManagement and Business EconomicsPolitical SciencePsychologyPublic HealthSociologySpanishUndeclared SSHAUndeclaredSchool of EngineeringSchool of Natural Science What is the primary major (or School) of the student? - Select -Registration QuestionSemester PlanningAudit OverviewForm CompletionAcademic DifficultyCampus ResourcesGoal SettingSuccess Issues (Time Management, Study Skills, Peer Relationships, etc.)Special ProbationJump Start Your Third YearMajor/Minor ChangeMandatory First Year AdvisingOther... Primary reason for visit Other... What is the primary reason this student sought assistance today? - Select -SSHA Academic AdvisorSSHA Advising WebsiteSSHA Peer MentorsCenter for Career and Professional AdvancementBright Success CenterCounseling and Psychological ServicesStudent Health ServicesStudents First CenterOffice of Student LifeSchool of Natural ScienceSchool of EngineeringOffice of International AffairsDepartment of Public SafetyOffice of Judicial AffairsOffice of Ombuds ServicesHousing and Residence LifeFaculty MemberAssist.orgUC Merced Catalog Website (catalog.ucmerced.edu)Pre-Health Advising and/or WebsiteOther... To which service did you refer the student? Other... Please only list one referral for this question. If there is more than one service you referred this student to, please list it below in the next question. SSHA Academic Advisor SSHA Advising Website SSHA Peer Mentors Center for Career and Professional Advancement Bright Success Center Counseling and Psychological Services Student Health Services Students First Center Office of Student Life School of Natural Science School of Engineering Office of International Affairs Department of Public Safety Office of Judicial Affairs Office of Ombuds Services Housing and Residence Life Faculty Member Assist.org UC Merced Catalog Website (catalog.ucmerced.edu) Pre-Health Advising and/or Website Other... To which additional services did you refer the student? Check all that apply. Other... In this section, check all additional services to which the student was referred. Notes Leave this field blank CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions. reCAPTCHA response
