The version of the browser you are using is no longer supported. Please upgrade to a
Black Admit Weekend 2016 Survey
Congratulations on your acceptance!! We are so excited to meet you and introduce you to our community!!
Gender Non-Conforming/Gender Queer/Transgender
Cell Phone Number
Please check all that you are interested in
African American Studies
STEM (Science, Technology, Engineering, Math)
Black Christian Ministries
Do you need transportation to UCLA on Thursday, April 14th and/or from UCLA on Sunday, April 17th?
No, I will be dropped off at UCLA on Thursday and picked up on Sunday
Yes, I need to be picked up on Thursday from LAX airport or a different Los Angeles location and dropped off at the same location on Sunday
Yes, I only need to be picked up on Thursday from LAX airport or a different Los Angeles location
Yes, I only need to be dropped off on Sunday at LAX airport or a different Los Angeles location
Please specify where you need to be picked up or dropped off if not LAX airport (must be a Los Angles location i.e. house or apartment address)
If there is a current UCLA student who you would like to be your host during Admit Weekend please specify their name below. *There is no guarantee that this person will be your host
If for some reason you are unable to arrive on Thursday, please state the day and time you will be arriving below. Thank you.
Page 1 of 1
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service