UCI Campus Tour Registration

UCI Campus Tour
Wednesday, April 1, 2020

To participate in the University of California, Irvine (UCI) Campus Tour you must meet the following requirements:

1) Be enrolled as a participant in EAOP or EAOP Community Partner program
2) Be a High School Junior (Class of 2021) or Sophomore (Class of 2022).

3) Submit ALL SIGNED WAIVERS to javier.canas@ucr.edu by Wednesday, March 25th to secure your spot

Please note that Juniors have priority for this event. You will be picked up from and dropped off at your local high school.

Only 50 students will be selected to attend the campus tour. First come first serve.

Question Title

* 1. Student's Name

First Name:

Last Name:

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* 2. Student's E-Mail Address

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* 3. Student's Phone Number? Ex:(xxx) xxx-xxxx
Enter a 10-digit number
All students will be added to the Remind App Group to stay in contact throughout the tour. Please download the app if you do not have it.

Question Title

* 4. What is your high school?

Citrus Hill High School

Rancho Verde High School

Other

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* 5. Do you belong to any of the following Community Based Organizations?

Heritage

Puente

MESA

Upward Bound

Educational Talent Search

San Bernardino ILP

Council of African American Parents

BLU Educational Services

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* 6. Student's grade level

11th

10th

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* 7. What is your ethnicity?

African-American/Black

American-Indian/Alaskan Native

Chinese/Chinese-American

East Indian/Pakistani

Filipino/Filipino-American Indian

Japanese/Japanese-American

Korean/Korean-American

Mexican/Mexican-American/Chicano

Pacific Islander

Vietnamese/Vietnamese-American

White/Caucasian

Other Asian (Not including Middle Eastern)

Other Spanish-American/Latino

Other (please specify):

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* 8. What is your gender?

Female

Male

Different Identity

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* 9. Parent's Name

First Name

Last Name

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* 10. Parent's Email Address

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* 11. Parent's Phone Number (xxx) xxx- xxxx Enter a 10-digit number

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* 12. PLEASE READ THE FOLLOWING: After clicking the button below you will be redirected to a new page where you can download the required waivers to participate in the UCI Campus Tour. You must complete and submit the waivers to javier.canas@ucr.edu by Wednesday, March 25, 2020 to complete your registration and to secure your spot.

Only 50 students will be selected to attend the campus tour. FIRST COME FIRST SERVE.

If you have any questions, please contact Javier Cañas via e-mail at javier.canas@ucr.edu

I have read the above agreement.

Question Title

* 1. Student's Name

Question Title

* 2. Student's E-Mail Address

Question Title

* 3. Student's Phone Number? Ex:(xxx) xxx-xxxx Enter a 10-digit numberAll students will be added to the Remind App Group to stay in contact throughout the tour. Please download the app if you do not have it.

Question Title

* 4. What is your high school?

Question Title

* 5. Do you belong to any of the following Community Based Organizations?

Question Title

* 6. Student's grade level

Question Title

* 7. What is your ethnicity?

Question Title

* 8. What is your gender?

Question Title

* 9. Parent's Name

Question Title

* 10. Parent's Email Address

Question Title

* 11. Parent's Phone Number (xxx) xxx- xxxx Enter a 10-digit number

Question Title

* 3. Student's Phone Number? Ex:(xxx) xxx-xxxx
Enter a 10-digit number
All students will be added to the Remind App Group to stay in contact throughout the tour. Please download the app if you do not have it.