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Faculty Mentoring Program: Table Talk Interest Form
Thank you for your interest in the Spring 2018 Table Talk Student-Faculty Dinners Program! This program is an opportunity for EOP students to receive personalized mentorship from a faculty member over the course of three dinners.
 
Please note: this application does not guarantee your participation in the program. You will be e-mailed if you are selected to participate in the program.

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In order to participate in this program you must be able to attend the following:

- Orientation: Wednesday, April 18, 12pm - 1pm, Student Resource Building, SRB 2154

- All three dinners all held from 6pm - 7:30pm at various points during the quarter.

Each dinner will be held with the same professor. The professors and their times are listed below:

*ATTENTION: The dates of Tammy's dinners have changed. Please see below changes.
1) Professor Tammy Afifi (Communication)
http://www.comm.ucsb.edu/people/tamara-afifi

Monday, April 30, 6:00- 7:30pm (originally Monday, April 23)
Monday, May 7,  6:00 - 7:30pm (originally Monday, April 30)
Monday, May 14, 6:00-7:30pm (originally Monday, May 7)

2) Professor Evelyne Laurent-Perrault (History)
http://www.history.ucsb.edu/evelyne-laurent-perrault

Wednesday, April 25, 6:00 - 7:30pm
Wednesday, May 16, 6:00 - 7:30pm
Wednesday, TBD

Location: ONDAS Student Center, Kerr Hall 1150

If you are interested in participating but unable to make the times, there will be a section at the end of the form to indicate this.  

Questions? Please email Yasmine Dominguez-Whitehead (OSC Student Activities Coordinator) ywhitehead@ucsb.edu or Natalie Gonzalez (EOP Counselor): Natalie.Gonzalez@sa.ucsb.edu.
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First Name: *
Last Name: *
U-Mail: *
Perm Number (first six digits): *
Cell Phone Number: (For "day-of" reminder texts) *
Class Standing: *
Are you an EOP student? *
Have you participated in Table Talk or Dining with Faculty before? *
What is your major/minor? (indicate if you are undeclared/undecided) *
If you are undeclared/undecided, what fields are you possibly interested in?
Please check the summer programs that you participated in before your first year at UCSB. *
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