UCLA Confucius Institute

Pre-Registration Form
Pre-registration form must by completed by May 31

Thank you for your interest in the UCLA Summer Institute for Bilingual Teachers!
To start the registration process please complete the form below.

* indicates required

Email Address *

First Name *

Family Name *

Name in Chinese characters, if applicable

Contact Phone

Language Program *

Mailing Address

Street Address Address Line 2 City State/Prov/Region Postal/Zip Country

Current School *

Grade(s) and Subject(s) Taught *

Teaching Credential(s) and Subject(s) *

School Location

Do you need housing at UCLA? *

Is Spanish/Mandarin spoken at home or with family? *

Have you formally studied Spanish/Mandarin? *

If so, where did you study?

If so, for how many years?

For Mandarin applicants only:

Required for Mandarin applicants only