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Email *
Full Name *
Preferred Name
Birthday
Format: MM/DD
UC San Diego Email *
If not applicable, please provide your preferred email address.
Phone Number *
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How did you find out about Project in a Box? *
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Student Status *
Major/Field of Study *
We accept students from all majors/fields! If your major is not listed below, please provide the full/official name of your major under "Other."
Second Major/Field of Study (If Applicable)
Please provide the full/official name of your second major of study if applicable.
Gender *
Term You Started at UC San Diego/current college *
Year You Started at UC San Diego/current college *
Format: YYYY
College/University *
We provide UC San Diego's undergraduate colleges, but you may also provide your college/university if you are not currently enrolled as a UC San Diego undergraduate. This applies for both undergraduate and graduate students.
Graduation Year *
Format: YYYY
Newsletter *
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This form was created inside of UCSD Jacobs School of Engineering.