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Concurrent Enrollment Application
Application Fee: First Time Enrollee $55 | Prior Concurrent Enrollee $10 | Late Application (starting first day of instruction) $100

Note: Participation in concurrent enrollment is on a space-available basis. It does not confer or suggest status as a regular UC matriculated student nor does it grant any priority to an applicant for regular admission. Filing this application does not guarantee acceptance into any particular class.

PERSONAL INFORMATION
MM/DD/YYYY
State
Include your area code with the phone number
Your SSN is reported to the IRS as part of the Tax Relief act of 1997 and is held strictly confidential.

When you opt-in, you are only agreeing to receive text messages about this case. Standard text messaging and data rates may apply.
Please enter an e-mail where we can send notifications regarding your application. Also, please check your spam/junk folder if you do not see a notification from UC Merced.
   

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DEMOGRAPHICS
Providing demographic information does not affect your chances of admissions.  We collect demographics information for statistical purposes only.  This section is optional. 
ETHNICITY / ANCESTRY
To help us understand the diverse racial and ethnic backgrounds of our students, please tell us which of the following groups best describes your background. Select all categories that apply to you.  Remember, this information is used for statistical purposes only by UC, government agencies and researchers (not for admission purposes).



Which of the following groups best describes your racial background?  Check all that apply.







GENDER IDENTITY AND SEXUAL ORIENTATION
We're committed to ensuring our campuses are welcoming to all students.  As with all other demographic questions, providing your gender identity and sexual orientation is voluntary, optional, and not considered in admissions decisions.  

Any information you provide in this section will be used for statistical analysis and programmatic purposes only.




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STUDENT AND SCHOOL INFORMATION






If the school you attended is not found, choose the value 'Unknown School'




You must upload a signed statement from your high school counselor.

You must upload a signed statement from your parent(s) giving their support and approval for you to enroll and pursue university level coursework through Concurrent Enrollment



Please answer each question as it applies to you. If you have been a UCM student, the information will be verified through the appropriate campus office(s).





Acceptable types of document format: .pdf, .docx, .jpeg, .tif, .txt must not exceed 25 megabytes




TERMS AND CONDITIONS
The information requested is required for official University use.  This information may be released as a matter of public record unless you indicate that it is not to be disclosed.  For information about filing a nondisclosure of directory information, please see https://registrar.ucmerced.edu/policies/ferpa and the Student Record Confidentiality Update form at https://registrar.ucmerced.edu/forms.
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