Introduction Section
Cal Rugby is a non-scholarship varsity sport for full time undergraduate students.

Information regarding admissions requirements can be found at http://www.universityofcalifornia.edu/admissions/freshman/requirements/index.html

Information regarding the cost of tuition, fees, and other expenses can be found at http://students.berkeley.edu/finaid/undergraduates/cost.htm

Thank you in advance for filling out this questionnaire.

Cal Rugby Staff
Personal Information
First Name:
Middle Name:
Last Name:
Preferred Name:
Country:
Street Address:
City:
State:
Zip:
Grad Year:
Date of Birth:
Email Address:
Home Phone:
Mobile Number:
What is your connection to this university:
Parent(s) Information
Mother's First Name:
Mother's Last Name:
Mother's Address (If Different):
Mother's City:
Mother's State:
Mother's Zip:
Mother's Occupation:
Mother's Email Address:
Mother's Cell Phone:
Mother's Business Ph.:
Mother's College:
Living With:
Father's First Name:
Father's Last Name:
Father's Address (If Different):
Father's City:
Father's State:
Father's Zip:
Father's Occupation:
Father's Email Address:
Father's Cell Phone:
Father's Business Ph.:
Father's College:
Living With:
Academic Information
School Name:
School Address:
School City:
School State:
School Zip:
Counselor's First Name:
Counselor's Last Name:
GPA:
SAT Test Date:
SAT Reading:
SAT Math:
SAT Writing:
SAT Composite:
ACT Test Date:
ACT Sum Score:
ACT Composite:
ACT English:
ACT Math:
ACT Reading:
ACT Science:
TOEFL:
Club Information
Club Name:
Club Address:
Club City:
Club State:
Club Zip:
Club Coach:
Club Coach Cell:
Club Coach Office:
Club Coach Home:
Club Coach Email:
Athletic Information
Height
Weight (in lbs.)


Positions
Other Questions
Other sports: years and positions played:
Athletic awards and honors::
40 and/or 100 dash time::
Bench press max and back squat max::
Other schools in which you are interested::
Foreign students, note: A levels, I.B., etc.:
When you have completed this questionnaire please click submit questionnaire.
School Name:
State:
City:


Club Name:
Team Name:
Coach Last Name:
State:
City:


Club Name:
Team Name:
Club State:
Club Coach First Name:
Club Coach Last Name:
Club Coach Email:
Club Coach Mobile: