Caltech: Connect With Us!

We are thrilled that you are interested in connecting with Caltech and would like to learn more about us.

Feel free to review and update any prefilled fields with new information and fill out any information we currently do not have.

Personal Information

Student First Name

Student Last Name

Student Nickname/Chosen Name

What name would you like to use for official print/email communications?

First Name

Preferred/Chosen Name

Student Birthdate

Student Email Address (Please avoid using a high school issued email address)

Student Mobile Number

Academic Area of Interest

Do you want to provide your Parent/Guardian(s) information to us?

Yes

Parent/Guardian #1 Information

Relationship of Parent/Guardian #1

Parent/Guardian #1 First Name

Parent/Guardian #1 Last Name

Parent/Guardian #1 Email Address

Parent/Guardian #1 Mobile Number

Do you want to provide another Parent/Guardian(s) information to us?

Yes

Parent/Guardian #2 Information

Relationship of Parent/Guardian #2

Parent/Guardian #2 First Name

Parent/Guardian #2 Last Name

Parent/Guardian #2 Email Address

Parent/Guardian #2 Mobile Number