Application. All original documents must be received at UC San Diego by February 23, 2018.

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1 Application Instructions: 1. Scanned copies of this application must be ed to by the program deadline of February 9, The document must be sent as a single file attachment in PDF format. No other formats will be accepted. The original of this form must then be mailed to: University of California, San Diego Attn: Olivia Graeve 9500 Gilman Drive - MC 0411 La Jolla, CA All original documents must be received at UC San Diego by February 23, The application also requires the submission of the UC San Diego volunteer packet. Depending on the type of application, there are three different packets: a. Volunteer packet for high school students b. Volunteer packet for college students c. Volunteer packet for researchers/teachers Please make sure to complete the correct volunteer packet. This packet must be must be ed to enlace@ucsd.edu by the program deadline of February 9, The document must be sent as a single file attachment in PDF format. No other formats will be accepted. The originals of the volunteer packet must then be mailed to the address provided above. All original documents must be received at UC San Diego by February 23, 2018.

2 3. FOR STUDENTS ONLY: A complete application also requires the submission of the following documents (by only to enlace@ucsd.edu; no originals necessary): 1. A letter of recommendation from a high school teacher or a college professor sent in PDF format. No other formats will be accepted. 2. School transcripts in PDF format (no other formats will be accepted): For high school students in the USA: The transcript must show courses for 10th grade and the first semester of 11th grade. It can also include courses for 9th grade, but this is not a requirement. The transcript must also include the overall grade point average. For high school students in México: The transcript (Kardex) must show grades for the 1st, 2nd, and 3rd semesters of high school. The transcript must also include the overall grade point average (promedio general). For college students in México: The transcript (Kardex) must show all grades for all college semesters that have been completed. The transcript must also include the overall grade point average (promedio general). 3. A two-page essay describing (1) why you want to participate in ENLACE 2018 and (2) what is your specific area of interest, in PDF format. No other formats will be accepted.

3 Applicant Information The cost of the program for students is $5,000. Scholarships may be provided to students based on financial need. Financial information may be requested upon acceptance into the program, in order to verify eligibility for scholarship support. Mark the following box if a scholarship for participation is requested. There are no scholarships for the researcher/teacher program. Cost of this program is $800 per week. Final costs will be determined after receiving the application and determining the total number of weeks that will be spent at UC San Diego. First Name Middle Name Last Name(s) Address Home Phone Mobile Phone Home Address Address Line 1 (Street name and number) Address Line 2 (Neighborhood or district, if any) City State Zip Code (México applicants must include C.P.) Country Date of Birth

4 Field of Study / Research Interest Affiliation (High School or University Name) Application for: High School Research Program Undergraduate Research Program Researcher / Teacher Program Proposed Start Date (must be a Sunday): Proposed End Date (must be a Friday): Proposed UC San Diego Researchers: (1) (2) (3) (faculty members that you feel would be closest to your research interests; visit the UC San Diego web sites of Engineering, Biological Sciences, Physical Sciences, and the School of Medicine, to determine possibilities; at least three names must be suggested). Parent or Guardian Information (only required for high school applicants) Parent or Guardian #1 First Name Middle Name Last Name(s) Home Phone Mobile Phone Address

5 Parent or Guardian #2 First Name Middle Name Last Name(s) Home Phone Mobile Phone Address

6 Students We expect that you will always conduct yourself with responsibility during the course of this program, that you will follow all regulations, and that you will be responsive to the faculty, staff, and students with whom you will be working. Your continued participation in this program depends on satisfactory fulfillment of these requirements. We expect you will be protected from danger whether the danger is caused by intentional or negligent acts of others, whether the harm is verbal or physical. Nonetheless, all persons participating in this program shall be deemed to have waived all claims against the University of California, San Diego, its employees or affiliates, the University of California system, and the State of California for injury, accident, illness, or death occurring during the program. Name of Student: Signature of Student: Date: High school students: By marking this box, I confirm that I am currently a student in 11th grade of high school (4th semester of bachillerato in Mexico). By marking this box, I confirm that my high school overall grade point average is 3.6 or higher (9.0 or higher for bachillerato students in Mexico). By marking this box, I confirm that I have satisfactory command (intermediate or higher) command of the English language. University students: By marking this box, I confirm that I am currently enrolled in a college or university and that I have completed at least one semester of college. By marking this box, I confirm that my university overall grade point average is 3.4 or higher (8.6 or higher for university students in Mexico). By marking this box, I confirm that I am currently enrolled in a degree program in a science or engineering field (i.e., Engineering, Physical Sciences, Biological Sciences, or Medicine). By marking this box, I confirm that I have satisfactory command (intermediate or higher) command of the English language. By marking this box, I confirm that I am 18 years of age or older.

7 Parents or Guardians (only required for high school applicants) We recognize that you are entrusting your children to our care. We have faith in the faculty and administrators of the University of California, San Diego, in that they will take all necessary steps to safeguard your children from danger and harm. We expect your children will be protected from danger whether the danger is caused by intentional or negligent acts of others, whether the harm is verbal or physical. Nonetheless, all persons participating in this program shall be deemed to have waived all claims against the University of California, San Diego, its employees or affiliates, the University of California system, and the State of California for injury, accident, illness, or death occurring during the program. Name of Parent or Guardian #1: Signature of Parent or Guardian #1: Date: Name of Parent or Guardian #2: Signature of Parent or Guardian #2: Date: