University Enrollment Form (#16) Personal Information 个人信息First Name 名Last Name 姓Email 邮箱Date of Birth 出生日期What is your current age? 您目前的年龄20Gender 性别(与护照显示一致) Male Female OtherWhich Quarter/Semester (s) are you applying to? 申请学期 Spring 2026 Summer 2026 Fall 2026 Winter 2027 Summer 2027Program of Interest- Select -UCLA Summer Sessions (15+)UCLA Anderson Pre-College Summer Program (14-18)UC Berkeley Pre-college Scholars Summer Residential Track (16-17 Only)UC Berkeley Summer Sessions (18+)Summer Enrichment at Georgetown University (14-18)Dartmouth Pre-college Summer Scholars (15-18)University of Pennsylvania Carey Law School Pre-College Academy (14-18)Pre-College Program at UT Austin (14-18)Program of Interest- Select -UCLA Summer SessionsUC Berkeley Summer SessionsBerkeley Haas Global Access Program (BHGAP) (大三及以上)Berkeley Global Access Program (BGA)Study Abroad at UCLA ProgramBerkeley Physics International Education Program (BPIE)UC San Diego University and Professional Studies (UPS)UC Santa Barbara University Immersion Program (UIP)USC Pre-Master's ProgramUSC Master's Preparation ProgramUCL Summer SchoolWhich major / course(s) do you want to choose? 意向选择专业/课程名称及课号 (后续可更改)PreviousNextAcademic Background 学历背景Which School Year are you in 请注明您目前的年级 9th Grade 9年级 10th Grade 10年级 11st Grade 11年级 12nd Grade 12年级 Freshman 大一 Sophomore 大二 Junior 大三 Senior 大四 Graduate 研究生 OtherWhat's the name of the University or school you currently attend? 目前在读学校名称(如已毕业请填写毕业院校)What's your major? 目前在读专业GPA 校内成绩 (按4.0制计)Year of Graduation 毕业年份- Select -203220312030202920282027202620252024202320222021202020192018201720162015English Proficiency Test Score- Select -TOEFL 托福IELTS 雅思Duolingo 多邻国CET-4 四级CET-6 六级Skip 跳过Other 其他English Test Score 输入上方选择的英语考试的成绩PreviousNextVisa Details What is your current citizenship or visa type? 现国籍状况及签证类型 目前没有目的国签证 Currently do not have the required Visa 持有目的国其他类型(包括旅游)的签证(F1/B1/B2/EB5,etc.) 目的国公民/永久居民Citizen/ Permanent ResidentCountry or region that has issued the passport that you will use to travel? 护照签发所在国家或地区- Select -AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountry and City of Birth 出生国家及城市(e.g. Los Angeles, USA) 确认与护照信息相同Other Country of permanent residence (if applicable): 其他拥有永久居住权的国家(如有)What's your Mailing Address? 联系地址 Who is your emergency contact? 紧急联系人信息First NameLast NameEmailPhone/MobileWhat is the relationship between you and your emergency contact? 紧急联系人和你的关系是PreviousNextDocument Submission 文件提交Please upload file(s) in English. 请上传英文版文件 Please email info@globaldreamer.org if you have an issue uploading the documents 如有问题,请发送邮件至info@globaldreamer.org *请用英文命名文件,并以PDF格式文件上传,大小5MB以内Please upload PDF documents within 5MB each.Please upload your official transcripts from the college or university attended. 请上传学校成绩单证明(英文版)Choose File Upload English Proficiency Proof (Optional) 请上传符合要求的英语成绩证明 (如有)Choose File Upload Passport 请上传护照信息Choose File Statement of Purpose - 请上传符合要求的个人陈述文件 (UC Berkeley Pre-College/Haas BHGAP/BPIE, UCLA Pre-College Institute, UCL Summer, Upenn, Dartmouth Pre-College 申请者必须提交对应文书)Choose File To the best of my knowledge, the information on this application is accurate and complete. I agree to the 3rd party company processing personal data contained in this application form, or other data which the 3rd party company may obtain from me or other people or organizations whilst I am applying for admission. I agree to the processing of such data for any purpose connected to my studies, or my health and safety whilst on UC's premises or for any other legitimate purpose. I acknowledge that the 3rd party company reserves the right to refuse admission or to terminate a student's attendance should it be discovered that he/she has made a false statement or has omitted significant information. If I am offered a place I may be required to provide evidence of my qualifications. Before submitting this application, I acknowledge that I have carefully read the Terms and Conditions and understand that $500 application fee is non-refundable if accepted. 条款声明 1. 本人确认以上信息真实有效,若因以上信息错误致注册失败或延误,本人将承担全部责任。 您以上提供的信息及记录仅会被用于申请此项目,并在相关学校建立学生信息档案。 *紧急情况下,紧急联系人等信息可能会被提交给相关部门。 2. 提交本申请表,您即同意以上条款,并知悉需随表提交$500美元报名费用,报名费用在项目总费用中扣除。若成功录取后退出,报名费用不予退还。付款信息见下页。PreviousNextPayment 付款方式学生可选择任意付款方式,具同等效力。a) 支付宝付款(人民币)*汇率按实时汇率计,见下方二维码。b) 在线储蓄卡/信用卡付款(美元)*支持开通国际美元付款的Visa, MasterCard, Amex等卡含4.6%手续费。 **There's a 4.6% service fee if you pay by credit card.https://buy.stripe.com/9AQg1waQG6ikbkccMU付款方式 Alipay 支付宝 Stripe 银行卡请在文本框内输入付款姓名及账号PreviousNextHow satisfied are you with your onboarding process? 你对申请流程的评价WeChat Number (Mobile)微信手机号How do you know us? Please let us know if you are referred by our alumni or Campus Ambassadors. 您是如何了解到我们的?(如小红书、公众号、博主推荐、校园大使、同学分享等) Previous Submit Form