You must have JavaScript enabled to use this form. 1 Start 2 Complete Today's date * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20242025202620272028 Scholar's First Name * Scholar's Last Name * UC Merced Email * Year in the program * First Year Other Academic Scholar Name * Academic Scholar Email * Which meeting is this for the scholar? * First AS Meeting Second AS Meeting Other Which of the following Fiat Lux 1st Year Requirements have you completed? (Mark all that apply) * 1st Year Orientation Pro-Staff Scholar Meeting #1 Workshop #1 Workshop #2 Workshop #3 Academic Scholar Meeting #1 Academic Scholar Meeting #2 1 Professional Development 1 Social 1 Faculty Reception N/A Notes and Resources for Scholar (This will be emailed to the scholar) * Student of Concern Form: Student of concern forms are submitted when a student exhibits signs of distress such as behavioral, academic, or interpersonal concerns. This can include panic reactions, sudden decline in grades, and self-disclosure of family problems, etc. * Yes, a student of concern form has been filled out for the scholar Student of Concern Form will be filled out N/A Academic Scholar will follow-up through email with their supervisor if a Student of Concern Form was submitted. The following is the direct link to the Student of Concern Form: https://ucmerced-advocate.symplicity.com/care_report/index.php/pid684882? Internal Notes (Concerns, Recommendations, Advice/Resources Given) * Leave this field blank
