UC Transfer Initiative Program Intake Form

Contact Information

First Name

Middle Name

Last Name

Preferred Name

Date of Birth

ex. 09/01/2003

Email

Phone Number

Ok to text you?

Mobile Number

Mailing Address

City

State

Zip Code

Demographic Information

Gender

Ethnicity

Language(s) Spoken at Home

English Proficiency

Education Level of Parent/Guardian 1

Education Level of Parent/Guardian 2

Did you complete a FAFSA/CA Dream Act Application for the current year?

Transfer Academy Information

Select the Transfer Academy Program you would like to attend:

Transfer Academy: July 10 - July 12, 2026

Intended Transfer Term

Intended Transfer Year

What is your major?

Current School/College/University (Start by typing your schools name and a list will appear)

Did you have to select "Unknown" in the school list?

YesNo

Please type your school name below.

Have you completed a UC Transfer Admission Planner (UC TAP) account?