UCLA AP Readiness STEM Student Registration 2018-2019
Please complete this form in order to participate in the 2018-19 UCLA AP Readiness STEM Program. Updates and Event Information will be sent to the e-mail address you indicate in this form.
First Name *
Your answer
Last Name *
Your answer
School Name *
Your answer
AP Readiness Stem Subject you wish to attend (You may select ONLY 1 STEM Subject): *
Preferred E-Mail Address *
Your answer
Primary Phone Number *
Your answer
Parent/Guardian Name & Phone Number
Your answer
Have you attended AP Readiness in previous years?
Student ID # (i.e. F02252001)
Your answer
Gender *
Background *
Required
Grade *
Last Name of Your AP Teacher
Your answer
If available, do you request bus transportation from your school for AP Readiness
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