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 * 2nd Year Other Lead Scholar * Andrew Kyle Lupe Completed Requirements for Spring 2026 (Please Mark All That Apply) * Spring Reflection Review Fiat Lux Hosted or Outside Workshop Lead Scholar Meeting Fiat Lux Hosted Social Fiat Lux Faculty Reception Professional Development 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 Meetings Notes (This will not be emailed) * Leave this field blank
