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usc pre-college programs
USC Pre-College Programs Application
1
Applicant Information
2
Course Information
3
Payment
course selection
Online Exploration Course you are applying to take
Start date
Please Select the start date
personal information
Legal first name
Legal last name
Middle Name
Preferred Name
Email
Country
Select a country
Date of Birth
Address
Address 2
City
Province/County
Zip/Postal Code
How did you hear about us? Please select all that apply
School Counselor / Teacher
Email from the USC Summer Programs / Pre-College office
Social Media
Family or Friend
An online search
Please specify
Gender Identification
Male
Female
Please specify
Demographic Information: Are you Hispanic/Latino?
Yes
No, not of Hispanic, Latino or Spanish origin
Regardless of your answer to the prior question, please indicate how you identify yourself. Check one or more
American Indian/Alaskan native (including all Original Peoples of the Americas)
Asian (including Indian subcontinent and Philippines)
Black or African-American (including Africa and Caribbean)
Native Hawaiian or Other Pacific Islander (Original Peoples)
White (including Middle Eastern)
Please specify
Residency
I am a citizen of the United States
I am a citizen of the United States, currently living abroad
I am a permanent resident of the United States, with a green card
I am an international student (non- U.S. citizen, non- U.S. permanent resident)
I am an international student, currently studying in the U.S. (non- U.S. citizen, non- U.S. permanent resident)
Please specify
Parent / Guardian Information
Parent / Guardian #1
First Name
Last Name
Relationship
Address Same as Student
Yes
No
Home Phone
Parent Cell Phone
Parent Email
Parent / Guardian #2 Optional
First Name
Last Name
Relationship
Address Same as Student
Yes
No
Home Phone
Parent Cell Phone
Parent Email
high school information
High School Name
Address
City
State
Province/County
Country
Select a country
Zip/Postal Code
Phone
Counselor Name
Counselor Email
Current Grade
Please Select
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