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UC San Diego Extension

Program Application

Thank you for your interest in the Academic Connections Research Studies.

Should you experience difficulty completing the application, please email academicconnections@ucsd.edu.

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Personal Information

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Secondary Education

List the highest secondary education level you have completed.

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For Minors Only (under 18)





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Program Information

You have selected the New Mexico Program held August 5 - 12, 2014.

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Certification and Authorization

I affirm that all of the information on this application is true and complete to the best of my knowledge.

Acceptance Notification

For Academic Connections Research Studies, you will be notified of your acceptance within two weeks of receipt of your complete application packet.

For Academic Connections Research Scholars, you will be notified of your acceptance by Monday, April 14, 2014.