Summer Exploration Programs at Pacific

First Name

Last Name

Email Address

Date of Birth

Month

Day

Year

Address Details

Permanent Non-US Home Address

Address

City

Region/State/Province

Postal Code

Country of Residence

Mobile Phone

International Code

Area Code

Phone Number

Session

English Exam Taken

Score of English Exam

TOEFL Overall Score

IELTS Overall Score

Are you working with an educational counselor/agency?

Name of educational counselor/agent

Educational counselor/agent email

What grade will you be entering in Fall 2024?

Please note, only students entering grades 9-12 in Fall 2024 are eligible for this program.

Topic Selection and Housing Preferences

Please submit this supplemental questionnaire to select your topic of focus for the program and inform us of any housing or dining preferences.

Upload the following documents to complete your program registration:

Proof of English proficiency
Copy of valid passport

Documents may also be submitted via email to summerprograms@shorelight.com after you have submitted your registration.

Please Upload Your Documentation

I have read and agreed to the enrollment contract listed here.

Yes, I agree

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Contact Information