Viterbi Request for InformationFirst Name*Preferred Name (if different than First Name)Last Name*Email Address*BirthdateBirthdateJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember1234567891011121314151617181920212223242526272829303120242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900Mailing Address*Mailing Address*CountryStreetCityRegionPostal CodeMobile PhoneOptional: The Viterbi School typically sends text messages related to events, deadlines, etc. By entering a mobile phone number, you consent to being texted by the Viterbi School. School Name*Sex (Optional)Another Legal Sex OptionFemaleMaleGender Identity - Fill in the Blank (Optional)Ethnicity (Select All that Apply)Ethnicity (Select All that Apply)American Indian or Alaska NativeAsianBlack or African AmericanCubanHispanic or LatinoMexicanNative Hawaiian or Other Pacific IslanderOther Hispanic or LatinoPuerto RicanWhiteOtherI do not wish to respondI Would Like to Enter USC as a...*I Would Like to Enter USC as a...*First-year (freshman)TransferBeginning in...*Beginning in...*Fall 2024Fall 2025Fall 2026Fall 2027Are you active duty/reserves/veteran in the U.S. military?Are you active duty/reserves/veteran in the U.S. military?YesNoSelect up to Two (2) Areas of Academic Interest in the Viterbi School of Engineering.1st Academic InterestVSE - Aerospace EngineeringVSE - Astronautical EngineeringVSE - Biomedical EngineeringVSE - Chemical EngineeringVSE - Civil EngineeringVSE - Computer Engineering & Computer ScienceVSE - Computer ScienceVSE - Computer Science GamesVSE - Computer Science/Business AdministrationVSE - Electrical & Computer EngineeringVSE - Environmental EngineeringVSE - Industrial & Systems EngineeringVSE - Mechanical EngineeringVSE - Undeclared Engineering2nd Academic InterestVSE - Aerospace EngineeringVSE - Astronautical EngineeringVSE - Biomedical EngineeringVSE - Chemical EngineeringVSE - Civil EngineeringVSE - Computer Engineering & Computer ScienceVSE - Computer ScienceVSE - Computer Science GamesVSE - Computer Science/Business AdministrationVSE - Electrical & Computer EngineeringVSE - Environmental EngineeringVSE - Industrial & Systems EngineeringVSE - Mechanical EngineeringVSE - Undeclared EngineeringIn college, I plan to:In college, I plan to:Pursue an arts program with engineeringPursue a business program with engineeringPursue a music studies with engineeringConduct research as an undergraduatePursue a combined BS/MS degree programGet an internship or co-opGet support for my Tech Start-UpEngage in Social EnterpreneurshipJoin the LGBTQ communityJoin the Women in Engineering programJoin the Center for Engineering DiversityJoin student organizationsCompete on engineering design teamsPlay sportsStay involved in community serviceStudy abroadSubmit