Request For Information

*All items with an asterisk must be completed. If data turns red then check format.

*First Name

Preferred First Name (Enter only if different from your first name above.)

If a PREFERRED FIRST NAME is provided, it will be used instead of the person’s legal first name in select university-related systems and documents. Before entering a preferred name, it is recommended that you review the Cal U Preferred First Name Policy.

Middle Name

*Last Name

*Email Address

*Phone Number

*My mailing address is ... ?

Country

Street

City

Region

Postal Code

*Birthdate

*Most recent school attended...

*When are you planning to start?

*Do you plan to study on campus or online?

On Campus

Online

*Please select a program of interest or major