Here are the Extended University specific forms you may need while being a student at CSUCI.

Important Notes

If looking into major course substitutions and change of objective your program director submits this on your behalf. Please contact your program director if this is the case.

Title of FormAdditional InformationLink to FormSubmission Guidelines
Academic Leave RequestTo request a formal leave from CI.Academic Leave Request

Submit electronically via Adobe Sign

Add/Drop Class

And/Or

Withdrawing Program

This is Extended University's request form for adding/dropping a course. Along with withdrawing from the program after published deadlines. Petition for Policy ExceptionSubmit electronically via Adobe Sign
Application for CertificateUse this form if you have finished the requirements for a certificate. Note: not for use if you are also pursuing a degreeApplication for CertificateSubmit electronically via Adobe Sign
Audit PetitionUse this form to request to enroll in a course as an auditor. Available only during the first three weeks of the semester.Audit PetitionSubmit electronically via Adobe Sign
Correction of Demographic Information on Student RecordUse this form to correct your social security number, date of birth or gender.Correction of Demographic Information on Student Records (PDF, 216KB)Submit online via CI Records from the myCI portal with required documentation
Change of AddressYou can change your address in CI Records or file this form to change your permanent or mailing address.Change of Address

Submit electronically via Adobe Sign
Change of Campus ProgramUse this form to change between the main campus undergraduate major program and Extended University undergraduate major program. Note: You must speak to your program director firstChange of Campus Program
(PDF, 116KB)
Submit by mail or via email
Change of ObjectiveThis form is for Post Baccalaureate or Graduate students who wish to add or change the program of study.Change of ObjectiveSubmit by mail or via email to your Academic Program Director
Course Substitution for Major Requirement RequestFor students who have taken a required major course at an institution other than CSU Channel Islands. Course Substitution Request ProcessEmail the Academic Program Director
Enrollment Verification RequestUse this form to request a verification of enrollment. For receipt of paid tuition use the Tuition Verification Request form.Enrollment Verification

Submit electronically via Adobe Sign
Exception to Course Repeat PolicyUse this form to request to repeat a course more than once (e.g. third attempt).Exception to Course Repeat Policy

Submit electronically via Adobe Sign
FERPA AuthorizationAuthorize a parent or designated individual to have access to your education record.Authorize to Release Guide
(PDF, 185KB)
Submit online via 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

Submit electronically via Adobe Sign
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, 319KB)Submit by mail or via email
Graduation ApplicationApply for graduation for the term in which you will complete all degree requirements.Graduation Application Guide
(PDF, 235KB)
Submit online via CI Records
Legal Name Change/Name Correction RequestUse this form to update or correct your name.Legal Name Change/Name Correction Request
(PDF, 283KB)
Submit online via CI Records
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. Note:This is not confirmation of a student's degree.Letter of Anticipated Completion Request

Submit electronically via Adobe Sign
Petition for Exception Extended UniversityThis form is used to request an exception to an Extended University policy. This may include adding or dropping a course after published deadlines, and/or withdrawing from the program.Petition for Policy ExceptionSubmit electronically via Adobe Sign
Preferred Email 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 email Update RequestSubmit electronically via Adobe Sign
Request for Change of Graduation TermUse this form to request a change in your expected date of graduation.Request for Change of Graduation TermSubmit electronically via Adobe Sign
Third Party Billing RequestUse this form if you are receiving tuition sponsorship from a third party such as the Department of Rehabilitation, employer assistance, or Veteran's benefits.Third Party Billing RequestSubmit this form electronically
Time ConflictForm is used to request to enroll in classes that conflict in time.Time Conflict Submit electronically via Adobe Sign
Tuition Verification RequestUse this form to request a tuition verification for courses taken.Tuition Verification RequestSubmit this form electronically
Back to Top ↑
©