You must have JavaScript enabled to use this form. 1 Start 2 Complete Today's Date * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year202520262027 Scholar's First and Last Name * UC Merced Email * Year in the Program * First Year Other Academic Scholar * Dannia Maria Nahomi Completed Requirements for Spring 2026 (Please Mark All That Apply) * Pro-Staff Scholar Meeting Fiat Lux Hosted or Outside Workshop Academic Scholar Meeting #1 Academic Scholar Meeting #2 Professional Development 1 Social 1 Faculty Reception Information and Resources (This will be emailed) * Student of Concern Form (Was a form submitted?) * Yes, a Student of Concern Form has been filled out for the scholar Student of Concern Form will be filled out for the scholar N/A Meeting Notes (This will not be emailed to the scholar) * Leave this field blank
