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 Form | Additional Information | Link to Form | Submission Guidelines |
|---|---|---|---|
| Academic Leave Request | To 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 Exception | Submit electronically via Adobe Sign |
| 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 electronically via Adobe Sign |
| Audit Petition | Use this form to request to enroll in a course as an auditor. Available only during the first three weeks of the semester. | Audit Petition | Submit electronically 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, 216KB) | Submit online via CI Records from the myCI portal with required documentation |
| Change of Address | You 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 Program | Use 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 first | Change of Campus Program (PDF, 116KB) |
Submit by mail or via email |
| Change of Objective | This form is for Post Baccalaureate or Graduate students who wish to add or change the program of study. | Change of Objective | Submit by mail or via email to your Academic Program Director |
| Course Substitution for Major Requirement Request | For students who have taken a required major course at an institution other than CSU Channel Islands. | Course Substitution Request Process | Email the Academic Program Director |
| Enrollment Verification Request | Use 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 Policy | Use 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 Authorization | Authorize 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 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 electronically 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 (PDF, 319KB) | 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 (PDF, 235KB) |
Submit online via CI Records |
| Legal Name Change/Name Correction Request | Use 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 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. Note:This is not confirmation of a student's degree. | Letter of Anticipated Completion Request |
Submit electronically via Adobe Sign |
| Petition for Exception Extended University | This 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 Exception | Submit electronically via Adobe Sign |
| Preferred Email 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 email Update Request | Submit electronically via Adobe Sign |
| Request for Change of Graduation Term | Use this form to request a change in your expected date of graduation. | Request for Change of Graduation Term | Submit electronically via Adobe Sign |
| Student ID Request Form |
CSUCI Extended University recognizes the possible community and local benefits our online students may benefit from having a physical student ID. A student ID is not required. |
Upon submitting your request, Student Business Services (SBS) will send an invitation for online photo submission via email and a $15.00 charge will be applied to your account. ID will be printed and mailed to students. | |
| Third Party Billing Request | Use 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 Request | Submit this form electronically |
| Time Conflict | Form is used to request to enroll in classes that conflict in time. | Time Conflict | Submit electronically via Adobe Sign |
| Tuition Verification Request | Use this form to request a tuition verification for courses taken. | Tuition Verification Request | Submit this form electronically |