Major Mentoring Request

First Name:
Last Name:
UCID:
Email Address:
Phone:
UC College :	Choose one... Allied Health Applied Science Arts & Sciences Business Center for Access and Transition CCM Clermont DAAP CECH Engineering Nursing Raymond Walters Social Work
Current Major:
Major of Interest:
Specific Mentor Requested: (if any)
When would you like to be connected to a mentor:	As soon as possible Within 1 - 2 weeks Within the quarter During a quarter break Over the summer
For more information, please contact: Nicole Cassini Major Mentor Coordinator, Center for Exploratory Studies 149 McMicken Hall Phone: 513.556.6540 email