2Connect Registration Form 2023-2024

Please use this form to register for 2Connect, a support program for second year students at UC San Diego. You will be asked a few questions to help us connect you with the support you need.

This form works best on a tablet or laptop.

Your Information
Name Name First Last
PID
UCSD Email
College
Major
Year

Year Second Year Transfer Other
Are you part of any campus support programs (please select all that apply):

Are you part of any campus support programs (please select all that apply): CASP Success Coaching OASIS Summer Bridge SSSP Triton Scholars SPACES McNair Scholars OASIS 2Excel Other Other

Please answer parents highest educational level:
	Mother Education	Fathers Education
No High School	No High SchoolMother Education	No High SchoolFathers Education
Some High School	Some High SchoolMother Education	Some High SchoolFathers Education
High School Graduate	High School GraduateMother Education	High School GraduateFathers Education
Some College	Some CollegeMother Education	Some CollegeFathers Education
2-year College Graduate	2-year College GraduateMother Education	2-year College GraduateFathers Education
4-year College Graduate	4-year College GraduateMother Education	4-year College GraduateFathers Education
Post Graduate Study	Post Graduate StudyMother Education	Post Graduate StudyFathers Education

What would you like help with?

Please select the areas in which you would like support to help us connect you with the resources you need.
1. Would you like help with improving your grades?

1. Would you like help with improving your grades? Yes, I would like help with improving my grades. No, this isn't my primary concern right now.

Please rank the following challenges: #1 MOST challenging and #8 LEAST challenging.
	#1	#2	#3	#4	#5	#6	#7	#8
Writing	Writing#1	Writing#2	Writing#3	Writing#4	Writing#5	Writing#6	Writing#7	Writing#8
Chemistry	Chemistry#1	Chemistry#2	Chemistry#3	Chemistry#4	Chemistry#5	Chemistry#6	Chemistry#7	Chemistry#8
Math	Math#1	Math#2	Math#3	Math#4	Math#5	Math#6	Math#7	Math#8
Motivation	Motivation#1	Motivation#2	Motivation#3	Motivation#4	Motivation#5	Motivation#6	Motivation#7	Motivation#8
Study habits	Study habits#1	Study habits#2	Study habits#3	Study habits#4	Study habits#5	Study habits#6	Study habits#7	Study habits#8
Exam Taking	Exam Taking#1	Exam Taking#2	Exam Taking#3	Exam Taking#4	Exam Taking#5	Exam Taking#6	Exam Taking#7	Exam Taking#8
Understanding or figuring out what's most important in the course readings	Understanding or figuring out what's most important in the course readings#1	Understanding or figuring out what's most important in the course readings#2	Understanding or figuring out what's most important in the course readings#3	Understanding or figuring out what's most important in the course readings#4	Understanding or figuring out what's most important in the course readings#5	Understanding or figuring out what's most important in the course readings#6	Understanding or figuring out what's most important in the course readings#7	Understanding or figuring out what's most important in the course readings#8
Balancing personal obligations with school work	Balancing personal obligations with school work#1	Balancing personal obligations with school work#2	Balancing personal obligations with school work#3	Balancing personal obligations with school work#4	Balancing personal obligations with school work#5	Balancing personal obligations with school work#6	Balancing personal obligations with school work#7	Balancing personal obligations with school work#8

2. Would you like help with being more successful in your major?

2. Would you like help with being more successful in your major? Yes, this is a primary concern for me. No, this isn't currently a concern for me.
Which is true of you?

Which is true of you? I’m doing well in my major, but am not sure it’s right for me I am undeclared and am having trouble choosing a major I want to get into a capped major. I’m not doing well in my major, and I’m not sure my major is right for me I like my major, but am not as successful as I want to be The list above doesn’t really describe me, what I’m struggling with is
3. Would you like help with figuring out or planning for your long-term goals?

3. Would you like help with figuring out or planning for your long-term goals? Yes, this is a primary concern of mine. No, I'm not too worried about this right now.
Which is true of you?

Which is true of you? I am undeclared and am having trouble choosing a major I want to get into a capped major I am torn between doing what interests me and doing what I think will get me a good job after graduation I know what I want after graduation, and I want help in figuring out what I need to do to get there I want to apply to medical school. I want to apply to graduate school. I need help with career planning. I'm not sure what I want to do after college. I have no idea what I'm doing. The list above doesn’t really describe me, what I’m struggling with is
4. I would like help with my personal development and direction.

4. I would like help with my personal development and direction. Yes, this is a primary concern for me. No, this isn't a primary concern for me at this time.
Which is true of you?

Which is true of you? I don't know why I'm here at UCSD. I need help with goal setting. I need help with time management. I need help with motivation. I need help finding a path at college that will help me in the future. I don't know what I want to do.
5. If none of the above describe your needs, please explain below what type of support you would like.

Please rank the support services based on need: #1 HIGHEST need and #5 LEAST need
	#1	#2	#3	#4	#5
Newsletter and information about upcoming opportunities	Newsletter and information about upcoming opportunities#1	Newsletter and information about upcoming opportunities#2	Newsletter and information about upcoming opportunities#3	Newsletter and information about upcoming opportunities#4	Newsletter and information about upcoming opportunities#5
A mentor to meet with	A mentor to meet with#1	A mentor to meet with#2	A mentor to meet with#3	A mentor to meet with#4	A mentor to meet with#5
Workshops, seminars, and information sessions	Workshops, seminars, and information sessions#1	Workshops, seminars, and information sessions#2	Workshops, seminars, and information sessions#3	Workshops, seminars, and information sessions#4	Workshops, seminars, and information sessions#5
Access to online podcasts and reflections	Access to online podcasts and reflections#1	Access to online podcasts and reflections#2	Access to online podcasts and reflections#3	Access to online podcasts and reflections#4	Access to online podcasts and reflections#5
Referral to other campus resources	Referral to other campus resources#1	Referral to other campus resources#2	Referral to other campus resources#3	Referral to other campus resources#4	Referral to other campus resources#5

Are you interested in meeting with a peer mentor for drop-in hours?

Are you interested in meeting with a peer mentor for drop-in hours? Yes No Maybe
Is there anything else you'd like to share?

2Connect Registration Form 2023-2024

2Connect Registration Form 2023-2024

Your Information

What would you like help with?