Community College Transfer Services - Student Intake Form
Hello from CCTS at UC Berkeley!

Please submit this Intake Form to connect with our program and receive updates on upcoming transfer events for community college students. Once submitted, one of our Transfer Specialists will connect with you to answer your questions and to share information on scheduling advising appointments.

All data collected is for advising and educational purposes only and will not be shared with anyone outside of the University of California. (Exception: name, email and student ID number may be shared with your community college)

If you have any questions or need support completing this form, please email us at transfer@berkeley.edu
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Email *
Community College *
Please select your current primary Community College or the college you plan to attend:
First Name *
Middle Name
Last Name *
Preferred / Lived Name 
A lived or preferred name is a name you go by that is different than your legal name
Preferred Pronouns
More information: https://pronouns.org
Phone number *
Example: 999-123-4567
I authorize text messages to the cell phone number above and accept responsibility for any charges incurred. *
Student ID # *
ID# for your primary community college
Race/Ethnicity  *
Please select all that apply to you or select "Other" and enter your own:
Required
Language(s) spoken at home: *
Gender/Sex *
Date of Birth *
MM
/
DD
/
YYYY
Zip code *
Example:  94720
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