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Continuing Education Programs


PUPS | Student Information

Please enter the following information to register for a pre-university program.

Create a password:
Minimum of 8 Characters
Student's First Name:
Student's Last Name:
Student's Middle Intial:
Student's Preferred Name:
Student's Date of Birth
(MM/DD/YYYY):
Student's Gender:

Student's T-Shirt Size

(Adult Sizes):

Student's Current School:
Student's Grade:
Student's Graduation Year:
Student's Current GPA:
Student's Cumulative GPA:
Is the student a DukeTip Scholar?  if Yes, enter ID
Is the student a SC - Junior Scholar?  if Yes, enter Year
Special Accommodations:
Special Accommodations Description:
Mailing Address:
City:
State:
Zip Code:
Phone Number:
Student's Email Address:
Note: This email address will be used to sign into the student's account. Please make sure to record this information.

 

  English Reading Writing Mathematics Science SC / History
Pass ©
PSAT ©
PACT ©
SAT ©
ACT ©
ITBS ©
MAP ©
Standford ©
PLAN ©
IOWA ©
Terra Nova ©

How did you learn about this program? (Please select one or more.)

DukeTIP Junior Scholar Direct Mailing Teacher/Guidance Counselor
Internet Search USC Website Trade Show/ Conference Newspaper Ad
Friend/Relative Continuing Education Course Catalog Other

Do you consider yourself to be Hispanic, Latino or of Spanish Origin?

Race (Please select appropriate box or boxes)

  American Indian or Alaska Native
  Asian
  Black or African American
  Native Hawaiian or Pacific Islander
  White

Parental/Guardian Information

Salutation
Last Name:
First Name:
Relationship:
Home Phone:
Daytime Phone:
Mobile Phone:
Parent/Guardian Email:
Please enter address information if different from student
Address:
City:
State:
Zip Code:
Does the student live with this person?

Secondary Parent/Guardian Info

Salutation
Last Name:
First Name:
Relationship:
Home Phone:
Daytime Phone:
Mobile Phone:
Parent/Guardian Email:
Please enter address information if different from student
Address:
City:
State:
Zip Code:
Does the student live with this person?
Are your parents/guardians USC Alumni Association Members?

If so, please provide their USC Alumni Association Member ID:

Parent/Guardian Information & Consent

As parent/legal guardian of the applicant, I have reviewed the information provided here, and consent to my student's submssion of to Pre-University Program. I agree to be responsible for all associated fees, and will return all waivers, permission and medical forms in a timely manner should my child be accecpted to participate.