SRI/STEM Interest Form
Hi, I am interested in learning more about SMC/UCLA's Science and Research initiative to support students interested in careers in Science, Technology, Engineering and Mathematics. Please contact me!
Sign in to Google to save your progress. Learn more
First Name
Last Name
SMC ID Number (if applicable)
SMC Email Address *
If you are NOT an SMC student, enter "N/A"
Secondary Email Address
If you are NOT an SMC Student, enter your personal email address.
Career/Academic Major? *
How did you hear about the STEM Program? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Santa Monica College. Report Abuse