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UC Santa Cruz
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Undergraduate Admissions
UCSC Outreach Interest Form
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This form is for submitting a CALIFORNIA outreach request for UC Santa Cruz Admissions
(workshop, visit, presentation etc.)
First Name
Last Name
Email Address
School Name
School Address
School Address
Country
City
Region
Postal Code
Thank you for your interest! This form is for outreach requests of California institutions.
What date are you interested in UC Santa Cruz attending?
Is there another date or time that is available? (please include all options)
CEEB
I am a(n)...
I am a(n)...
High School College Counselor
Community College Counselor
Independent Counselor/Advisor
Student support service staff member (EOPS, Umoja, Puente)
Other (please specify)
Check all that apply
I would like to coordinate the following with UC Santa Cruz:
I would like to coordinate the following with UC Santa Cruz:
PIQ Workshop for Students
UC Application Workshop
Information Workshop for Counselors
UC Santa Cruz Presentation
College Fair
High School Fair
Other (please specify)
Submit
