2021 Student Application

*Please read eligibility requirements for all programs

Please indicate your preferred session(s):

Online Research Course The Online Research Program is full and we are no longer accepting applications.

Tuition Discounts: If the applicant is accepted and the tuition is received by March 23, a discount of $50 will be applied. Students whose parents are a University of California employee will get an additional 10% discount after all other discounts are taken into consideration.

Are either of your parents employee(s) of University of California?
Are you applying for a scholarship?
Please read the scholarship criteria, and submit this application as well as the scholarship application.
Please enter your total enrollment fee for all program you selected here
(ignore $ sign and no coma. If not accurate, you will be notified via Email)
 

Scholarship applicants can put 0 in the box. Scholarships are very competitive and are granted to underserved students. Please read the scholarship eligibility carefully before you apply for a scholarship. Since we accept non-scholarship applications on a rolling basis, if you apply for a scholarship and your application is rejected or waitlisted, you may lose your position as a non-scholarship applicant.

Personal Information

Last Name *  
First Name *  
Middle Initial
Date of Birth *
(MM/DD/YYYY)
Gender *
Ethnicity/Race
Ethnicity Other   Please type in other ethnicity

Education

Name of High School *  
Address of High School *  
High School Phone (555) 555-5555  
Current Grade Level *  
Unweighted GPA (out of 4)*  

Contact Information

Home Address *  
City *  
State *  
Country *  
Zip *
Student Cell *(555) 555-5555  
Student Email *  
Home Phone (555) 555-5555  
Mother/Guardian Name *  
Mother/Guardian Cell * (555) 555-5555
Father/Guardian Name*  
Father/Guardian Cell* (555) 555-5555
Parent/Guardian e-mail*  
Major hobbies and/or extracurricular activities
(max 150 characters)

*Please describe why you would like to join the Program
(minimum of 750 characters, maximum of 1200 characters or 150-200 words). We recommend that you type your essay in a word document and copy and paste to this space.

Once you submit this application form, you will get a confirmation summary of what you provided to your email. The confirmation summary needs to be signed by you and your parents and returned to us by email at highschoolresearch@hs.uci.edu or mail. No actions will be taken on your application unless we receive the signed copy of this confirmation, and your transcripts. If you are accepted to the program, we will require you and your parents to complete other registration materials.