Please fill out the form below to receive e-mail updates from the URC about program deadlines, research opportunities, and funding resources. Please note that this list is intended for current undergraduates at UCLA.

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* 1. First and Last Name:

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* 2. UID:

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* 3. Gender:

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* 4. Home Institution

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* 5. E-mail Address:

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* 6. Undergraduate Major:

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* 7. Ethnicity:

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* 8. Year in School:

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* 9. Did you transfer to UCLA?

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* 10. Ultimate Degree Objective:

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* 11. Are you receiving financial aid?

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* 12. How did you learn about URC-Sciences?

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