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2020 UCLA Summer Programs for Undergraduate & Graduate Research - Application Form

Deadline: March 31st unless otherwise stated in the program description

 

Summer Programs at UCLA

Select the summer program you want to participate in:

Select a second choice to be considered for another program. (optional)

 

Name

 
Gender

 

UCLA ID #

 -   -   If you are currently a UCLA undergraduate.

Date of Birth

 /   /   Four digit year e.g., 2000.

 
Ethnicity

 
The University of California is required to report to federal and state agencies the ethnic/racial composition of its students. Therefore, we ask that you answer the following set of questions about your ethnic and racial identity. The application form is the primary data source of demographic data. The University holds such information confidential and uses it only for aggregated statistical purposes. Furthermore, this information will in no way influence the application review process.
 
The University is required by the U.S. Department of Education to ask you to answer the following two questions on race/ethnicity:
 
Do you consider yourself Hispanic or Latino?
Includes persons of Cuban, Mexican, Puerto Rican, South or Central American or other Spanish culture or origin.
 
In addition, select one or more of the following racial categories as appropriate for you.
 


       Please specify tribe(s) [If more than one, please separate by commas]
       



 
For University of California purposes, to help us understand the diverse racial and ethnic backgrounds of our students, which of the following groups best describes your background? Check as many categories as may apply.
 
African American/Black Hispanic/Latino, or Spanish Origin Asian American/Asian
  
Native Hawaiian or Other Pacific Islander White/Caucasian
  
  
  

 
U.S. Citizen

 
Are you a U.S. citizen? 
If No, are you a U.S. permanent resident?

 
California Resident

Are you a California resident? 

Phone Number

Day Phone   -   - 
Evening Phone   -   - 
Cell Phone   -   - 

E-mail Address

 



 
Permanent Mailing Address

 

 
Undergraduate Institution


Undergraduate Major



 

GPA

(Through Fall 2019; On a 4.0 scale A=4, B=3, etc.)
 

Projected Graduation Date

Select projected month/year for completion of undergrad studies:
 / 

Year in School

 (As of Fall 2019)

 
Financial Aid

Are you currently receiving financial aid? 

Language(s) Spoken at Home

Parents Highest Level of Education


 
Summer Research Major

 
In what major do you wish to do your summer research?


 
Participating in Other Programs

 
Are you participating in any of the following programs?

 
Apply to Graduate School

 
Do you plan to apply to graduate school? 
If Yes, when do anticipate applying:
 / 

(up to 240 characters long)

What is your ultimate degree objective

 
Become a Faculty Member

 
Do you aspire to become a college or university faculty member?

 
Participated in Other Research Programs

 
Have you participated in other research programs, including summer programs?


(up to 1,000 characters long, approximately 20 rows)

 
Password

 
You will need to login later to check the status of your application. Password must contain both letters (a-z, A-Z) & numbers (0-9):
At least 6 characters long (CASE SENSITIVE)

At least 6 characters long (CASE SENSITIVE)

 
Save Your Application

 
I hereby apply for the UCLA Summer Research Programs, and certify that all of the above statements are accurate. If selected, I agree to actively participate in the programmatic activities offered.
 

Last revised: October 7, 2019