Forms

Forms accepted via email must be submitted to registrar@csuci.edu. Send using your myCI email account.

Title of Form Additional Information Link to Form Submission Guidelines

Academic Leave Request

To request a formal leave from CI.

Academic Leave Request

Submit via Adobe Sign

Additional Unit Authorization

This form is for undergraduate students in good standing wishing to enroll in more than 18 units or for undergraduate students on academic notice wishing to enroll in more than 14.0 units.

NOTE: You will need to know the email address of your academic advisor, program chair, or faculty advisor to submit via Adobe Sign. Review Academic Advising's webpage.

Additional Unit Authorization

Submit via Adobe Sign

or

Work with your advisor so they can submit this request online

Application for Certificate

Use this form if you have finished the requirements for a certificate (note: not for use if you are also pursuing a degree) Application for Certificate

Submit via Adobe Sign

Audit Petition

Request to enroll in a course as an auditor. Available only during the first three weeks of the semester.

Audit Petition

Submit via Adobe Sign

Correction of Demographic Information on Student Record

Use this form to correct your social security number, date of birth or gender.

Correction of Demographic Information on Student Records   (PDF, 282K)

Submit online via your myCI portal with required documentation

Change of Graduation Term

Use this form to request a change in your expected date of graduation.

Request for Change of Graduation Term

Submit via Adobe Sign

Change of Major, Minor, or Certificate

This form is for undergraduate students to request a change of major, minor or certificate.

Request for Change of Major, Minor, or Certificate

Submit via Adobe Sign

or

Work with your advisor so they can submit this request online

Change of Address

Note: You can change your address in CI Records or file this form to change your permanent or mailing address.

Change of Address

Submit via Adobe Sign

Change of Campus Program

Use this form to request a change between a main campus undergraduate program and an Extended University undergraduate program.

Change of Campus Program

Please Note: Students will be required to meet with faculty prior to a final decision

Change of Objective This form is for Post Baccalaureate students who wish to add or change their program of study. Change of Objective (PDF, 88.2KB) Submit by mail or via email
CI Letter of Recommendation - Permission to Release Education Record Information This form is required for students to grant permission to release information related to their education record in order for faculty to write a letter of recommendation. CI Letter of Recommendation - Permission to Release Education Record Information (PDF, 213KB) Submit by mail or via email directly to the faculty member
Course Withdrawal Request
(formerly known as "Drop Form")
Use this request for individual course withdrawals. Course Withdrawal Request Submit via web application

CSU Intrasystem Concurrent Enrollment Application

For enrolled CI students requesting to take a class, concurrently, at another CSU campus. More info at the Intrasystem Enrollment page. CSU Intrasystem Concurrent Enrollment
(PDF, 274KB)
Submit by mail or via email
CSU Intrasystem Visitor Enrollment Application For enrolled CI students requesting to take a class at another CSU campus. More info at the Intrasystem Enrollment page. CSU Intrasystem Visitor Enrollment (PDF, 219KB) Submit by mail or via email
Duplicate Diploma Request Use this process to request a duplicate diploma. Duplicate Diploma Request Submit via Duplicate Diploma Request page
Enrollment Verification Request Use this form to request a verification of enrollment. This is most commonly used to show proof to insurance companies or an employer that you are enrolled in course work. Enrollment Verification Submit via Adobe Sign
Exception to Course Repeat Policy

Use this form to request to repeat a course more than once (third attempt).

NOTE: You will need to know the email address of your Program Chair (for major courses) or the Director of Academic Advising (for GE courses). View Campus Directory.

Exception to Course Repeat Policy

Submit via Adobe Sign
FERPA Authorization Authorize a parent or designated individual to have access to your education record.

Authorize to Release Guide

Submit in CI Records
FERPA Request to Withhold Directory Information Use this form to request that the University withholds directory information. Please consult the University Policy on the Family Educational Rights and Privacy Act for more information. FERPA Request to Withhold Directory Information Submit via Adobe Sign
GE/Graduation Substitution Request For students who have taken a required GE/Graduation course at an institution other than CSU Channel Islands. Form is used to request to receive credit for this course. GE/Graduation Substitution Request

Submit by mail or via email
Graduation Application Apply for graduation for the term in which you will complete all degree requirements. Graduation Application Guide Submit in CI Records
Late Add Petition

Petition to add a class after the third week of the semester; an exception to campus policy. Extenuating circumstances and approvals required.

NOTE: You will need to know the email addresses of the instructor and the Program Chair for the course. View Campus Directory.

Late Add Petition

Submit via Adobe Sign
Late Submission of Cal Vet Tuition Fee Waiver (Veteran Dependent)

Use this form if you are a dependent of a veteran and were directed to fill and submit this form to acknowledge you are submitting a late Cal Vet Fee Waiver.

Late Submission of CVFW

Submit via Adobe Sign
Late Submission to Request Certification of VA Educational Benefits (Veteran or Dependent of a veteran)

Use this form if you are a veteran or a dependent of a veteran who was directed to fill and submit this form to acknowledge you are submitting a late request to use VA educational benefits.

Late Submission to request certification of VA educational benefits

Submit via Adobe Sign
Legal Name Change/Name Correction Request Use this form to update or correct your name.

Legal Name Change/Name Correction Request( PDF, 551K)

Submit online via your myCI portal with required documentation
Letter of Anticipated Completion Request Use this form if you have applied to graduate and require proof of that intent to be sent to external academic institutions and/or places of employment. This is not confirmation of a student's degree. Letter of Anticipated Completion Request Submit via Adobe Sign
Petition for Academic Renewal For students requesting Academic Renewal. Please make sure all conditions are met prior to submitting Petition for Academic Renewal (PDF, 231KB) Submit via email
Petition For Exception Use this form to request an exception to a University Policy or deadline. Petition For Exception

Submit via Adobe Sign

Petition to Participate in Commencement

Use this form to request an exception to the terms eligible for the commencement ceremony. Petition to Participate in Commencement Submit via Adobe Sign
Preferred E-mail Update Request Use this form to request an update to your Dolphin E-mail address to align with your already updated preferred name in CI records.

Preferred E-mail Update Request

Submit via Adobe Sign
Residency: California Nonresident Tuition Exemption Request For more information, please see the Residency Web page. Residency: California Nonresident Tuition Exemption
(PDF, 168KB)
Submit online via your myCI portal with required documentation
Residency: CSU Foster Youth Tuition Waiver For more information, please see the Residency Web page.

CSU Foster Youth Tuition Waiver (PDF, 62.6KB)

Submit online via your myCI portal with required documentation
Residence Questionnaire For more information, please see the Residency Web page. Residence Questionnaire (PDF, 154KB) Submit online via your myCI portal with required documentation
Term Withdrawal Request Request a withdrawal from all courses you are enrolled in at the university for a particular term. More information on the Withdrawal Procedures page. Term Withdrawal

Submit via web application

 

Time Conflict

Form is used to request to enroll in classes that conflict in time.

NOTE: You will need to know the email addresses for both instructors. View Campus Directory.

Time Conflict Submit via Adobe Sign
Back to Top ↑
©