Virtual Admissions Interview - Southern California/Hawaii

Student Personal Information

First (Given) Name

Student's Preferred First Name

Last (Family) Name

Date of Birth

Citizenship

U.S. Citizen

U.S. Permanent Resident

International

Prefer not to respond

Primary Country of Citizenship

(Hidden) U.S. Citizen = United States

(Hidden) U.S. Permanent Resident = YES

(Hidden) U.S. Permanent Resident = NO

Student Contact Information

Email Address

Verify Email Address*

Mobile Phone Number (include +country code)

Mailing Address

Country

Street

City

Region

Postal Code

Student Academic Information

Anticipated Major

Additional Major

Student Type

Anticipated Start Term and Year

What is the current (or last) school of attendance?
(If not found, please provide the School Name and its City/State or its City/Country)

CEEB Code

Level of Study (H)

Level of Study (U)