Get Connected to UCLAThank you for your interest in UCLA! Submit this form to stay in the loop about upcoming events for prospective students, discover ways to connect with us, and learn about the incredible opportunities waiting for Bruins on campus. * denotes a required fieldAbout YouFirst Name *Lived or Preferred First NameMiddle NameLast Name *Birthdate *Birthdate *JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember12345678910111213141516171819202122232425262728293031202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900Contact InformationEmail Address *Re-Enter Email Address *Mailing Address *Mailing Address *CountryStreetCityRegionPostal CodeAdditional InformationMost Recent School Attended *Most Recent School Attended CEEB CodeI plan to apply as a: *I plan to apply as a: *First-YearTransferI plan to enter UCLA in: *20262027202820292030I 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 StateOtherSubmit
