USC Pre-College Programs

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Your Role (Student, Parent, Counselor)

Counselors: please fill out the Counselor Request for Information form instead!

Student Information

Student Email Address

Student First Name

Student Last Name

Student Birthdate

Mobile Number

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Parent Information

Parent 1 Email Address

Parent 1 First Name

Parent 1 Last Name

Parent 1 Type

High School Information

Current School Name

When will you be graduating?

Which Program are you Interested in?