WiSTEM in the Bay

Student Information

*Indicates a required field

First Name:

Last Name:

Preferred/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 First Name

Email Address:

Confirm Email:

Birthdate:

Legal Sex:

Begin typing current or last school attended name or CEEB code:
(Select from auto-suggested list)

⚠️Your school did not match a school in our database

Make sure you are selecting from the auto-suggested school list.
If your school is not listed, type "My school is Not Listed" and select the Domestic or International option from the list.

My School Is Not Listed - Additional Information (Domestic)

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

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:

Guest Information

Will you bring a guest?

Yes

No

Confirm Guest Count:

Guest Email Address:
If you would like a copy of your confirmation email sent to your guest, please enter their email address below.

Academic Information

Interested in applying as a:

First Year

Transfer

3/2

Primary Academic Area of Interest:

WiSTEM Specific Question

WiSTEM focuses on the experiences of students whose gender identity has been historically underrepresented in STEM, particularly those who identify as female, non-binary, and/or gender expansive, but we accept applications from any students who wish to participate.

What is it about this program that resonates with you?

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 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?

Yes

No

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:

Country

Street

City

Region

Postal Code

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

Yes

No

Please indicate how you identify yourself:

(check all that apply)

Please indicate how you identify yourself:

(check all that apply)

Are you Hispanic or Latino?

Yes

No

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.