以下信息全部用英文填写 Student's Name (International students should enter their name exactly as it appears in the passport. Please do not use /, \ and periods.) （个人信息应该跟护 照上所列信息相同） Last Name / Family Name * First Name / Given Name * Middle Name Date of Birth * Year Gender * Male Month Day Female Student's Email Address * Confirm Email Address * Country of Citizenship * Country of Birth * City of Birth * Permanent Address (No P.O. Box's) Street Address 1 (No. P.O. Boxes) * Street Address 2 City * Zip / Postal Code Country * Home Telephone Number (include area code first) * ACADEMIC BACKGROUND UCLA Experience Have you ever attended, applied to, or worked at UCLA before? * Yes No Academic Experience Do you have a University degree? * Yes No If not, are you expecting your degree before summer? Yes No EMERGENCY CONTACT INFORMATION - PLEASE NOTE THAT THE CONTACT(S) MUST BE 18 OR OLDER （此信息用于在紧急情况下联系，这里的联系人最后会讲英文，可 以为父母，亲戚，监护人或者其他可以在紧急情况下联系到你父母的人） Name of Emergency Contact * Relationship * Primary telephone (include area code first) * Work telephone (include area code first) Mobile telephone (include area code first) Email Address * Street Address 1 (No P.O. Boxes) * Street Address 2 City * State / Province / Region (if applicable) Zip Code Country * COURSE SELECTION Please carefully list the complete 9-digit course ID number for only the courses you intend to enroll in. You can find the course ID numbers in the Schedule of Classes. NOTE: Enrollment is not guaranteed as it is a competitive process. You can confirm enrollments by logging into your MyUCLA account within 24 hours of submitting this form. Courses Course ID Units Grade Option for variable unit courses only Course 1 Course 2 Course 3 Course 4 students should go to the schedule of classes at http://www.registrar.ucla.edu/schedule/schedulehome.aspx to select courses ID numbers. To search for courses select Summer 2014, then the subject, then click “Get Classes”. Click on a course title, then click “View Course” to see detailed infor-mation. Select a minimum of 2 courses and write down or copy the 9 digit ID number for each desired course. Enter course IDs on the registration form. Units - In most cases, the unit field can be left blank as most courses have a set number of units. However, variable unit courses are those which do not have a default unit setting. The student must therefore choose the number of units. An error will appear if the field is left blank for a variable unit course. Grade Option – L for Letter Grade of A,B, C, D, or F. P/NP for Passed/ Not Passed. If left blank, the default for the course will be applied and may be changed from URSA. Some courses will have a default setting which cannot be changed.