Transfer Interest - Counseling Division

Transfer Interest

Please use this form to let us know the universities/colleges of interest to you.

* Indicates required field.

* Student ID:
* First Name:
* Last Name:
* E-Mail:
Phone:	[e.g. 714-123-4567]
Address:
City:
State:
Zip Code:

Majors: [Hold down the CTL key to make multiple selections]:
California State University(CSU) [Hold down the CTL key to make multiple selections]:
University of California (UC) [Hold down the CTL key to make multiple selections]:
Private [Hold down the CTL key to make multiple selections]:
Others [Please separate multiple entries with commas]: