Community College Transfer Services - Student Intake Form                                           
 2025-2026 Academic Year

Hello from UC Berkeley Community College Transfer Services!

Please submit this Intake Form to receive important UC announcements, our transfer newsletter, and updates on upcoming transfer events and webinars open to all California community college students.

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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Community College *
Select your current primary Community College 
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
Date of Birth *
MM
/
DD
/
YYYY
Gender/Sex *
Preferred Pronouns *
More information: https://pronouns.org
Personal Email *
Please enter the email address that you use the most frequently:
College Email if different from above
Phone number *
Example: 999-123-4567
Student ID # *
ID# for your primary community college
Zip code *
Example:  94720
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