2024 Women in STEM/Caltech Up Close Interest Form

*Indicates required field

Student Information

First Name:

Last Name:

Nickname/Chosen First Name:

I prefer to be addressed by my:
(we will use this for all print and digital communication with you and your parents/guardians)

First Name

Nickname/Chosen Name

Email:

Confirm Email:

Birthdate:

Interested in applying as a:

Level of Study (Hidden - High School)

Level of Study Undergraduate (Hidden - Undergraduate)

Intended entry term:

Begin typing school name or CEEB code:
(Select from auto-suggested list. If your school is not an option, select "My School Is Not Listed" from list)

School Code Matched:

Current School Address

Country

Street

City

Region

Postal Code

Program Interest

When more information becomes available, I would like to be emailed about:

2024 Women in STEM

2024 Caltech Up Close

Both

Privacy Notice for Students and Prospective Students

This Privacy Notice (opens in a separate window) contains important information regarding Caltech's privacy practices that apply to your Personal Information. You are expected to read this Privacy Notice in its entirety to understand Caltech's privacy practices in advance of submitting any Personal Information to Caltech or its third parties acting on its behalf.

Check this box to confirm that you have reviewed our Privacy Notice and consent to the collection, processing and retention of your Personal Information consistent with the terms of this Privacy Notice.