Get Connected to UCLA - Strategic Partnerships & Community Engagement Sign up to receive helpful information and event invitations from UCLA! * denotes required fieldsYour Personal InformationFirst Name *Lived or Preferred First NameLast Name *Email Address *Re-enter Email Address *Birthdate *Birthdate *JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember12345678910111213141516171819202122232425262728293031202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900Additional InformationI plan to enter college in: *20262027202820292030 Please type your school name below to search and click on your school if it appears in the list. If it does not appear in the list, please type the complete name of your school (no abbreviations, please).Most Recent School Attended *Most Recent School Attended CEEBGender:FemaleMaleAnother, not listedI plan to study: (select one)Arts (art, dance, design, music)Engineering (including computer science)Humanities (English, modern languages, etc.)Life Sciences (biology, psychology, etc.)NursingPhysical Sciences (chemistry, mathematics, etc.)Social Sciences (business economics, history, sociology, etc.)Theater or FilmUndecided (planning to explore the possibilities)Ethnicity - Please select all that applyEthnicity - Please select all that applyAmerican Indian or Alaska NativeAsianBlack or African AmericanHispanic or LatinoMiddle Eastern or North AfricanNative Hawaiian or Other Pacific IslanderWhiteDecline to StateOtherHome Address:Home Address:CountryStreetCityRegionPostal CodeSpecial Program Affiliation (HIDDEN)Bruin CorpMesaPuenteSP&CEUCLA EAOPumojaYoung Black ScholarsSubmit