High School Summer Opportunities Registration

Attention
  • This form is only to be completed by high school students.
  • Registration is not complete until the verification, waivers, and payment are submitted.
Enrollment
Communication from our office will be based on your choice of our commuter or online program. If you update your selection after registration, please email highschoolsummer@ucsc.edu.
Grade Level
Select your High School grade level.
About You
Please enter your full social security number. UCSC is required to ask for this information for 1098T reporting. If you do not have one, leave this field blank.
Enter your UCSC ID number, or leave this blank if you do not have one.
Enter your given first name.
Enter your given middle name.
Enter your given last name.
Lived Name [If different than Legal Name]
Lived name: A self-chosen or personal and/or preferred professional name used instead of a legal name.
Enter your lived first name.
Enter your lived middle name.
Enter your lived last name.
Enter your date of birth in mm/dd/yyyy format.
Select your gender.
Enter your email address. Please do not use a high school account that cannot receive outside emails.
Enter a second time to help prevent typos.
Enter your parent or legal guardian's first name.
Enter your parent or legal guardian's last name.
Enter your parent or legal guardian's email address.
Enter a second time to help prevent typos.
Permanent Address

Enter the address information for your permanent address, including your apartment number or PO Box.

Enter your permanent address.
Enter your permanent city.
Select your permanent country.
Select your permanent state.
Enter your permanent state.
Enter your permanent zip code.
High School Information
Enter your high school's city.
Select your high school's country.
Select your your high school's state.
Enter your your high school's state.
Program Information
Agreements
I understand that:
Registration Fee

Please pay the The $50 registration fee next.