STARS Highway 99 College Tour: Modesto

Student Information

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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)

First Name

Preferred/Chosen Name

Email Address:

Confirm Email:

Birthdate:

Legal Sex:

How many guests, if any, will be joining you?

Enter one guest email you would like us to include on the confirmation and reminder emails:

Student Academic Information

Interested in applying as a:

First Year

Transfer

3/2

Primary Academic Area of Interest:

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(Select from auto-suggested list)

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Where is your school located?

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City

Region

Postal Code

If available, enter your school's website:

My School Is Not Listed - Additional Information (International)

In order to properly match you to a school, we'll need some additional details.

Enter the school name that wasn't listed:

Where is your school located?

Country

City

Region

If available, enter your school's website:

Would you like to provide additional information?

There are additional questions that our office uses to provide more specific information to students, including invitation to themed events and information about different resources and opportunities on campus.

Would you like to provide additional information?

There are additional questions that our office uses to provide more specific information to students, including invitation to themed events and information about different resources and opportunities on campus.

Yes

No

Optional Student Information

Additional Academic Area of Interest:

Gender Identity:

Gender Open Response:

Pronouns:

Share your pronouns:

Home Phone Number:

Mobile Phone Number:

May we text you?

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By selecting "Yes" you are agreeing to receive occasional text messages from the Caltech Undergraduate Admissions Office. Message and data rates may apply.

Mailing Address:

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Street

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Postal Code

Will you be the first in your family to graduate from a four-year college or university?

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No

Please indicate how you identify yourself:

(check all that apply)

Please indicate how you identify yourself:

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Are you Hispanic or Latino?

Yes

No

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