Qualtrics Survey | Qualtrics Experience Management

SMP Workshop Attendance Verification

To stay active in the Success Mentor Program, you will attend eligible workshops each semester (see program info for specifics). Once you have attended a workshop that has been offered by our Mentors, or has been pre-approved, please complete this form.

Student name:

UC Merced email:

Workshop Title:

Workshop Facilitators:

Date of workshop:

Please provide a short summary of the workshop you attended. (Approximately 4-5 sentences)

What skills and/or resources will you take and use from this workshop?