Please enable JavaScript in your browser to complete this form.Step 1 – Personal DetailsPreferred First Name *Preferred Last Name *Preferred pronounsUCLA University ID (UID) *Email address *Year of study *SelectFirst yearSecond yearThird yearFourth yearFifth year or beyondExpected date of graduation *SelectFall 2026Winter 2027Spring 2027Summer 2027Fall 2027Winter 2028Spring 2028Summer 2028Fall 2029Winter 2029Spring 2029Summer 2029Fall 2030Winter 2030Spring 2030Summer 2030Fall 2031Winter 2031Spring 2031Summer 2031Fall 2032Winter 2032Spring 2032Summer 2032Graduate or undergraduate student *— Select Choice —UndergraduateGraduateHow did you learn about Degree Plus? (Select all that apply) *EmailFaculty or instructorAcademic advisorFriend or classmateSocial mediaFlyer or posterInfo session or eventOtherHow did you learn about Degree Plus? otherWhat Degree Plus industry pathway are you most interested in? (Rank order)HealthEntertainmentTechStep 2 – Academic InformationWhat is your major (or intended major)? *Are you taking a second major? *SelectYesNoWhich Major?Are you taking a minor? *SelectYesNoAre you in good academic standing? *SelectYesNoYou need to maintain a minimum 2.0 GPA for both the term and your cumulative record to be in good academic standing.Step 3 – Short AnswerPlease answer the three questions below. * Why are you interested in Degree Plus? How will Degree Plus work alongside your current course load and schedule? How do you see it shaping your career path and job search after graduation? Short Answer *Confirmation *I confirm the information I’ve provided is accurate and complete.Submit
