2021 New Student Welcome Form - Department of English UCLA

Full Name*

First Middle Last

Your first, last and, if applicable, middle names as you are listing them in official university records.

Preferred First Name

If you have a preferred first name that is different from that listed above, please enter it here. Otherwise, please leave blank.

Preferred Pronouns*

they / them / their
she / her / hers
he / him / his

University Housing Priority List*

Yes - Single Student Housing
Yes - Family Student Housing
No

Do you wish to be placed on the department's priority list for university housing?

Email*

Enter Email Confirm Email

The email address you would like us to use for departmental communications. (This can be updated at any time.)

Phone

If we need to reach you by phone, please provide the number we may use.

Cohort Contact Sheet*

Yes, please!
No, thank you.

Do you wish your email address to be included on the contact sheet for your fellow 2020 cohort members? (We do not list phone numbers on the cohort contact sheet.)

Additional comments