BISA Student Intake Form
Note: This form is for all UC Berkeley students from all years!

Congratulations for committing to Berkeley and becoming a Bear! The Berkeley Indonesian Student Association (BISA) would like to extend a warm welcome to the incoming Freshman Class of 202, Transfer Class of 2025 and all graduate students! We look forward to forming long-lasting and eventful memories for your next few years at Cal.

Please fill out this short form (<5 mins!) so we can stay in contact and keep you informed of all the fun activities that we have this year. If you have any questions or concerns, please reach out to 
President: giovannalisuardi@berkeley.edu // +34 685 021227 (WhatsApp only!)
Head of Technology & Operations: mcwiradharma@berkeley.edu // +1 (206) 889 7741

All responses are kept confidential and will not be shared with any external parties. Information is used strictly for communication purposes.

Please share this form with your other BISA friends and other new Indonesian admits!
Preferred First Name *
Last Name *
When is your birth date? *
MM
/
DD
/
YYYY
Would you like to have your birthday listed on our BISA calendar? *
This will be visible to BISA members only.
Phone number, preferably one on WhatsApp. *
Your phone number, preferably with a contactable WhatsApp number. Please write your number with the country code in the following format: +(country code) 00000000.
Berkeley Email (ending with @berkeley.edu) *
What is your hometown? *
Let us know where your from! We love diversity in our Indonesian community. 
Please follow the following format: City, State, Country (ex. Jakarta, Indonesia or Berkeley, California, USA)
Which high school or community college did you previously attend? *
What is your expected graduation year?  *
What is your student year? *
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