DCAC/EAOP Mid-Year Senior Survey 2025-26
Sign in to Google to save your progress. Learn more
Email *
Student ID # *
Also known as your lunch number
First Name *
Last Name *
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Cell Phone # *
XXX-XXX-XXXX
Ethnic Identity(ies) *
School / Site *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of UC Berkeley.

Does this form look suspicious? Report