Black Admit Weekend 2016 Survey
Congratulations on your acceptance!! We are so excited to meet you and introduce you to our community!!
First Name *
Your answer
Middle Initial *
Your answer
Last Name *
Your answer
Gender *
Email *
Your answer
Cell Phone Number *
Your answer
Parent/Guardian(s) Name(s) *
Your answer
Parent/Guardian(s) Number *
Your answer
UCLA Major *
Your answer
Hometown *
Your answer
High School *
Your answer
Please check all that you are interested in *
Required
T-shirt size *
Do you need transportation to UCLA on Thursday, April 14th and/or from UCLA on Sunday, April 17th? *
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)
Your answer
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
Your answer
If for some reason you are unable to arrive on Thursday, please state the day and time you will be arriving below. Thank you.
Your answer
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