Introduction Section
Thank you for expressing interest in the University of California at Berkeley and our men's water polo program.

Please complete our questionnaire which begins our recruiting process. NCAA rules prohibit us from contacting you prior to July 1st of your junior year, but it is permissible for you to call us or visit our campus at your own expense at any time. You may also obtain academic information about the University of California by contacting our Admissions Department at the following address:

Office of Undergraduate Admission & Relations with Schools
University of California, at Berkeley
110 Sproul Hall
Berkeley, CA 94720
(510) 642-3175

Thank you in advance for filling out our questionnaire. Please feel free to call us if you have any questions at: (510) 377-3348.

Go Bears!
Kirk Everist & Russ Hafferkamp
Personal Information
First Name:
Last Name:
Country:
Address Type:
Street Address:
City:
State:
Zip:
Grad Year:
Date of Birth:
Email Address:
Home Phone:
Mobile Number:
Instagram:
@
Parent(s) Information
Parent 1's First Name:
Parent 1's Last Name:
Parent 1's Gender:
Parent 1's Occupation:
Parent 1's Email Address:
Parent 1's Cell Phone:
Parent 1's College:
Siblings (Names & Age):
Parent 2's First Name:
Parent 2's Last Name:
Parent 2's Gender:
Parent 2's Occupation:
Parent 2's Email Address:
Parent 2's Cell Phone:
Parent 2's College:
Living With:
Academic Information
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School Name:
School Address:
School City:
School State:
School Zip:
Counselor's First Name:
Counselor's Last Name:
Counselor's Phone:
Counselor's Email:
GPA:
SAT Composite:
ACT Composite:
TOEFL:
Intended Major:
Have you Joined the Eligibility Center?
Eligibility ID:
Club Information
Club Name:
Club City:
Club State:
Club Coach:
Club Coach Cell:
Club Coach Email:
Athletic Information
Height
Weight (in lbs.)
Events

Important: Once you select an event all fields for that event are required and must be input correctly. If all fields are not filled out correctly then those values will not be logged with your application.

Distance Type Best 1 Best 1 Date Best 2 Best 2 Date
Event 1
Event 2
Event 3
Event 4
Event 5
Event 6
Positions
Water Polo
Other Questions
What are your top 3 college choices?:
High School Coach Name:
High School Coach Cell:
High School Coach Email:
What is your wing span? (in inches - from finger tip to finger tip):
How familiar are you with Northern California?:
Do you have a current ODP Evaluation Form? (yes/no - if yes, please submit):
Have you been selected to any USAWP National Teams?:
Do you know any Cal Alumni?:
Do you know any current students at Cal?:
Who is the most influential person in your life?:
Why would you like to attend the University of California - Berkeley?:
Why do you think you can make a contribution to the Cal Water Polo program?:
What are your priorities for a "complete" college experience?:
Are you a good teammate? Please tell us, why?:
When you have completed this questionnaire please click submit questionnaire.
School Name:
OR :
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:

Do you still want to add the prospect?