The Berkeley Review's Application Form Enrollment process Please read the enrollment agreement and fill out the application form. Enter Information: First Name Last Name Email Date of Birth Street City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingBritish ColombiaAlbertaManitobaOntarioQuebecNova Scotia Zip Code Phone Number When Are you planning on taking the MCAT? January March April May June July August September Summer 2021 Winter 2022 Spring 2022 Have you taken the MCAT before? ChooseYesNo If yes, what scores did you receive? College or University Attended Major How did you here about the Berkeley Review? Word of MouthCurrent DoctorCurrent ResidentInternet-SDN-RedditUniversityFriendOther Summer 2021 Class Sessions: Session: Start date: End date: Schedule: Price: Session I May 23rd August 1st 3pm - 5pm $1,995 Session II June 13th August 19th 9am - 11am $1,995 Session III June 13th August 19th 12pm - 2pm $1,995 Session IV June 12th August 19th 3pm - 5pm $1,995 Note: All class times are posted in Pacific Time. Schedule subject to change. What time zone will you be attending lectures from? Pacific (PT) Mountain (MT) Central (CT) Eastern (ET) Alaskan (AST) Hawaiian (HST) Select Session: Session I Session II Session III Session IV Course Enrollment and Copyright Materials By checking this box and pressing submit below, you understand and agree to all of the terms and conditions described in the Enrollment Agreement. It is your responsibility to read the Enrollment Agreement. I also understand that the materials that I will receive for my Course are protected by all applicable copyright, trademark, and unfair competition laws and that any unauthorized use of those materials (including, without limitation, copying or redistributing them) without the written consent of the copyright or trademark owner could subject me to civil or criminal penalties, or both. I also understand that enrollment in The Berkeley Review’s Course is final and that there are no refunds or chargebacks. If I elect to use a credit card as my method of payment, then by signing below, I authorize The Berkeley Review to make a charge to my credit card for the total amount of the Course. Submit Application
