Registration for Summer Institutes

IMPORTANT NOTES

Each registration session will time out in 4 hours. Therefore, please have all required materials available before starting this registration. To find out each program's admission requirements, visit the program website.

The non-refundable registration fee and documents such as the Waiver of Liability and the Participant Agreement are not required at the time of application.

To ensure that future announcements are delivered to your inbox, please add info@summer.ucla.edu to your email address book.

Required fields are denoted with *.

CONTACT INFORMATION

Present Contact Information

Street Address 1 (No P.O. Boxes) *

Street Address 2

City *

Country *

State / Province (US/Canada Only - For all other countries, please leave blank)*

Zip / Postal Code (mandatory for US and Canada addresses)*

Student’s Primary Phone Number (Numbers only)
For non-US countries, please enter the country code before the phone number. Click here to refer to the list of country codes. *

Permanent Address

Same as present contact information?

Street Address 1 (No. P.O. Boxes) *

Street Address 2

City *

Country *

State / Province (US/Canada Only - For all other countries, please leave blank)*

Zip / Postal Code (mandatory for US and Canada addresses)*

Student’s Primary Phone Number (Numbers only)
For non-US countries, please enter the country code before the phone number. Click here to refer to the list of country codes. *

EMERGENCY CONTACT INFORMATION - PLEASE NOTE THAT THE CONTACT(S) MUST BE 18 OR OLDER

Primary Emergency Contact

We strongly recommend that you provide at least one emergency contact that will be physically in the United States during your time at UCLA.

Is this person a primary guardian?

Name of Emergency Contact *

Relationship *

Primary Phone Number (include area code first) *

Secondary Phone Number (include area code first)

Email Address *

Street Address 1 (No P.O. Boxes) *

Street Address 2

City *

Country *

State / Province (US/Canada Only - For all other countries, please leave blank)*

Zip / Postal Code (mandatory for US and Canada addresses)*

Additional Emergency Contact Information

Would you like to add an additional emergency contact? Yes No

Is this person a guardian?

Name of Additional Contact Person

Relationship

Primary Phone Number (include area code first)

Secondary Phone Number (include area code first)

Email Address

Street Address 1 (No P.O. Boxes)

Street Address 2

City

Country

State / Province

Zip / Postal Code

PROGRAM SELECTION

FINANCIAL AID

IMPORTANT NOTE: Non-UCLA students are not eligible for financial aid from UCLA. Non-UCLA students expecting to receive financial support from their home institution or a third-party organization must complete the Non-UCLA Financial Aid Agreement Form.

Will you be applying for financial aid at your current university, college, or institution?* Yes No

Will you be using funding from a third-party source or organization (e.g., scholarship) to pay for your Summer Session?* Yes No

By checking this box, I acknowledge that I have reviewed, fully understand and voluntarily agree to all terms that apply to me as stipulated on the Summer Sessions website including, but not limited to those specified during this registration process.