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2022 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)






 -   -   If you are currently a UCLA undergraduate.

Date of Birth

 /   /   Four digit year e.g., 2002.


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



(Through Fall 2021; 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 2021)

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)


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: September 21, 2021