Forms

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

Title of FormAdditional InformationLink to FormSubmission Guidelines

Academic Leave Request

To request a formal leave from CI.

Academic Leave Request 
(PDF, 76.3KB)

Submit by mail or via email

Additional Unit Authorization

This form is for undergraduate students wishing to enroll in more than 18 units.Additional Unit Authorization
(PDF, 99.2KB)

Submit by email after obtaining signature

or

Work with your advisor so they can submit this request online

Audit Petition

Request to enroll in a course as an auditor.  Available only during the first three weeks of the semester.Audit Petition 
(PDF, 129KB)

Submit via email, mail or in person

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, 143KB)

Submit online via your myCI portal with required documentation

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 (Adobe Sign)

Submit online through 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 
(PDF, 71.0KB)

Submit by mail or via email

Change of Campus Program

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

Change of Campus Program
(PDF, 87.9KB)
Submit by mail or via email
Change of ObjectiveThis 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 InformationThis 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

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 ApplicationFor 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
Drop Form:
Fall 2021
Use this form for individual course drops.Drop Form 
(PDF, 182KB)
Submit via email
Duplicate Diploma RequestUse this process to request a duplicate diploma.Duplicate Diploma RequestSubmit via Duplicate Diploma Request page
Enrollment Verification RequestUse 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
(PDF, 83.6KB)
Submit by mail or via email
Exception to Course Repeat PolicyUse this form to request to repeat a course more than once (third attempt).

Exception to Course Repeat Policy (PDF, 455KB)

Submit by mail or via email
FERPA AuthorizationAuthorize 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 InformationUse 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 (PDF, 342KB)Submit by mail or via email
GE/Graduation Substitution RequestFor 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
(PDF, 112KB)
Submit by mail or via email
Graduation ApplicationApply for graduation for the term in which you will complete all degree requirements.Graduation Application GuideSubmit in CI Records
Late Add Petition: Fall 2021Petition to add a class after the third week of the semester; an exception to campus policy.  Extenuating circumstances and approvals required.

Fall 2021 Late Add Petition

(PDF, 159KB)

Submit by email using your myCI account
Legal Name Change/Name Correction RequestUse this form to update or correct your name.Legal Name Change/Name Correction Request
(PDF, 976K)
Submit online via your myCI portal with required documentation
Letter of Anticipated Completion RequestUse 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
(PDF, 75.1KB)
Submit by mail or via email
Petition For ExceptionUse this form to request an exception to a University Policy or deadline.Petition For Exception
(PDF, 78.8KB)
Submit by mail or via email
Preferred E-mail Update RequestUse 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 (PDF, 162 KB)

Submit by mail or via email
Request for Change of Graduation TermUse this form to request a change in your expected date of graduation.Request for Change of Graduation Term Submit electronically via Adobe Sign.
Residency: California Nonresident Tuition Exemption RequestFor 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 WaiverFor 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 QuestionnaireFor more information, please see the Residency Web page.Residence Questionnaire (PDF, 154KB)Submit online via your myCI portal with required documentation
Term Withdrawal RequestThis form is used to 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 (PDF, 615KB)Submit via email
Time ConflictForm is used to request to enroll in classes that conflict in time.Time Conflict (PDF, 25KB)Submit via email
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