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:
Address Type:
Street Address:
City:
State:
Zip:
Grad Year:
Date of Birth:
Email Address:
Home Phone:
Mobile Number:
Instagram:
@
What is your connection to this university:
Parent(s) Information
Parent 1's First Name:
Parent 1's Last Name:
Parent 1's Gender:
Parent 1's Address (If Different):
Parent 1's City:
Parent 1's State:
Parent 1's Zip:
Parent 1's Occupation:
Parent 1's Email Address:
Parent 1's Cell Phone:
Parent 1's Business Ph.:
Parent 1's College:
Living With:
Parent 2's First Name:
Parent 2's Last Name:
Parent 2's Gender:
Parent 2's Address (If Different):
Parent 2's City:
Parent 2's State:
Parent 2's Zip:
Parent 2's Occupation:
Parent 2's Email Address:
Parent 2's Cell Phone:
Parent 2's Business Ph.:
Parent 2's College:
Living With:
Academic Information
{{item.text}} No schools matching "{{sd.searchText}}" were found.
School Name:
School Address:
School City:
School State:
School Zip:
Counselor's First Name:
Counselor's Last Name:
GPA:
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
Rugby
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.:
What is your school/club teams name?:
Did you take the SAT with essay or the ACT with writing?:
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?