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Student Registration for UCLA AP Readiness HUMANITIES Program 2017-2018
I Would Like to Attend AP Readiness HUMANITIES In:
(pick only 1)
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English Language
English Literature
World History
United States History
Government
Psychology
Spanish Language
Spanish Literature
Student Personal Information
First Name
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Middle Initial
Last Name
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Home Street Address
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Apartment Number
City
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Zip Code
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Primary Phone Number
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Emergency Phone Number
Email Address
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Parent/Guardian Name
Parent/Guardian Phone # for Emergency Contact
Gender
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Male
Female
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What Best Describes Your Background?
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Asian
African-American/Black
Latino/Hispanic
Pacific Islander
Native American
White
Multi-Racial
Other
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