You must have JavaScript enabled to use this form. Name (First & Last) * Student's Name (First & Last) * Relationship to Student * Street Address Line 1 * Street Address Line 2 (if applicable) * City, State * Zip Code * Email * Cell Phone Number * (209) 228-2586 English Spanish Hmong Other... Primary Language Other... Volunteer at UC Merced events Participate in campus and regional events Share your story (Participate as a speaker or expert in your field) Introduce UC Merced to my employer for possible internship opportunities: I am interested in staying involved, please send information when the following opportunities are available: Introduce UC Merced to my employer for possible internship opportunities: Leave this field blank CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions. reCAPTCHA response