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UC Santa Cruz
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Undergraduate Admissions
UCSC Virtual Outreach Request Form
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This form is for submitting a Virtual Outreach Request for UC Santa Cruz Admissions
(workshop, presentation etc.)
First Name
Last Name
Email Address
School Name
School Address
School Address
Country
City
Region
Postal Code
What date are you interested in meeting with UC Santa Cruz?
What time would like to request?
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:
Virtual Student Panel
Virtual PIQ Workshop for Students
Virtual UC Application Workshop
Virtual Information Workshop for Counselors
Virtual UC Santa Cruz Presentation
Virtual College Fair
Other (please specify)
Thank you for your interest! This form is for outreach requests of California institutions.
Submit
