Webform used to keep track of Pro-Staff Scholar Meetings for the 2022-2023 academic year. You must have JavaScript enabled to use this form. 1 Start 2 Complete Date of the Meeting * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year202520262027 Scholar's First Name * Scholar's Last Name * Scholar's UC Merced Student ID # * Scholar's UC Merced Student Email * Year in the Fiat Lux Scholars Program 1st Year 2nd Year 3rd Year 4th Year Other... Scholar's Year in the Fiat Lux Scholars Program Other... Which Pro-Staff member are you meeting with today? Danielle Bermudez Kisha McGuire Other... Which Professional Staff member is the scholar meeting with today? Other... Pro-Staff's UC Merced Email * Which meeting is this for the scholar? First Meeting Second Meeting Other... Which meeting is this for the scholar? Other... Housing Accommodation On Campus Off Campus (Merced) Off Campus (Outside of Merced) Other... Housing Accommodation Other... Which of the following program requirements have been completed by the scholar? (Check all options that apply.) Fiat Lux Orientation (1st Year Scholars) Pro-Staff Scholar Meeting #1 Pro-Staff Scholar Meeting #2 Academic Scholar Meeting #1 Academic Scholar Meeting #2 Lead Scholar Meeting #1 Lead Scholar Meeting #2 Professional Development #1 Professional Development #2 Professional Development #3 Fiat Lux Workshop #1 Fiat Lux Workshop #2 Fiat Lux Workshop #3 Optional Outside Workshop Fiat Lux Social Faculty Reception or Faculty Story Alternative N/A Other... Which of the following program requirements have been completed by the scholar? Other... General Check-In Topics & Resource Links Which Academic Resources were provided to the scholar? (Check all options that apply.) Academic Advising/Peer Advisors Professor and/or TA Office Hours Peer-Lead Undergraduate Study (PLUS) Center Stem Center Math Center Writing Center Physics Center Chem Center Library Services Bright Success Center Learning Workshops N/A Other... Which Academic Resources were provided to the scholar? Other... Which Career / Research Resources were provided to the scholar? (Check all options that apply.) Center for Career and Professional Advancement (CCPA) Margo F. Souza Student Leadership Center Undergraduate Research Opportunities Center (UROC) Program N/A Other... Which Career / Research Resources were provided to the scholar? Other... Which Social / Personal Well-Being Resources were provided to the scholar? (Check all options that apply.) Counseling and Psychological Services (CAPS) Campus Advocacy, Resources and Education (CARE) Office Health Center Accessibility Services Health Promotion Students First Center Office of the Ombuds Dean of Students Office Basic Needs Office Financial Wellness Center Financial Aid Office Housing and Residence Education Off-Campus Housing Services Office of Student Involvement Community Engagement Center Police Department Guardian Scholars Program Services for Undocumented Students Underground Scholars Program Success Mentor Program Transfer, Returning, and Veterans Services (TRV) Program Merced County Community Resources N/A Other... Which Social / Personal Well-Being Resources were provided to the scholar? Other... Was a Student of Concern form utilized during this meeting? * The following is the direct link to the Student of Concern Form: https://ucmerced-advocate.symplicity.com/care_report/index.php/pid684882? Yes No Length of Meeting 15 minutes 30 minutes 45 minutes 1 hour Other... Length of Meeting Other... Additional Observations / Meeting Notes Leave this field blank
