TRANSITION TO THE NONACADEMIC WORKFORCE PROGRAM
INTEREST FORM
This form is for UCI graduate students and postdoctoral scholars interested in the Transition to the Nonacademic Workforce Program
APPLICANT INFORMATION
Full Name:
Nickname:
Application Date:
Student ID:
Email:
Phone:
Local Address:
ACADEMIC INFORMATION
Program/Department/School:
Year in your program (ex. 5th):
ABOUT YOU
How prepared do you feel for your transition to the workforce?
What skills do you wish to learn from this course?
How did you hear about this program?
Please indicate which sessions you will be able to attend (all sessions will meet from 5-7pm):
☐ February 17th
☐ February 24th
☐ March 2
☐ March 9
AGREEMENT
I understand that I must attend all sessions and complete all required assignments to receive the certificate.
I confirm that the above information is accurate.
Signature
Date
WHEN APPLICATION IS COMPLETE PLEASE EMAIL/RETURN TO:
Megan Story storym@uci.edu