JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
SHINE 2022
Please indicate here if you would like us to contact you when SHINE applications are open.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Last name
*
Your answer
First name (the name by which you like to be called)
*
Your answer
High School Name and City
*
Your answer
Current Grade Level
*
9th grade
10th grade
11th grade
12th grade
email address
*
Your answer
Parent/Guardian's email address
*
Your answer
Is there anything in particular you would like to know?
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of University of Southern California.
Report Abuse
Forms
