APPLICATION FOR RE-ENTRY
Undergraduate students requesting to return to CSU Channel Islands after more than one year away (two regular
semesters not to include Winter or Summer) without having a leave of absence on file, are considered re-entry students.
Re-entry students will not need to re-apply for admission through Cal State Apply, with the exception of impacted programs
such as BS Nursing/BS Mechatronics Engineering and the following self-support degree programs offered through Extended
University: BA Psychology (Santa Barbara/Goleta), BS Business (Santa Barbara/Goleta), BS Business Online, and BS Nursing
(BSN/ADN to BSN/RN to BSN).
Note: Any student who has been academically disqualified will have to go through the formal reinstatement process prior to
being readmitted. If you have been disqualified, please click here: https://www.csuci.edu/academics/appeals/reinstatement.htm
Deadlines for Submission by Term:
FOR RE-ENTRY IN FALL: July 1
st
FOR RE-ENTRY IN SPRING: December 1
st
INSTRUCTIONS:
1. Meet with an Academic Advisor in the Academic Advising Center to review academic requirements. You will need to
obtain an advisor’s signature on this form. Visit https://www.csuci.edu/advising/contact.htm
for contact information.
2. If you have completed any coursework since you last attended CSUCI, you must send official transcripts.
3. A decision and/or response will be communicated within 10 business days via e-mail. If application is submitted outside
of normal processing times (April July 1
st
for Fall, October December 1
st
for Spring), we will notify you that it has
been received. You will receive a separate notification once it is processed.
Name ___________________________________________________ Student ID __________________________
E-mail Address __________________________________________ Phone ________________________________
Date of Birth _______________________________________
Major: __________________________________________________________________________
You must establish a major by 60 or more baccalaureate units.
I wish to return to CSU Channel Islands (Required): Term __________________ Year ________________
Summer and Winter are not valid terms for re-entry. Please visit: https://ext.csuci.edu/ for Extended University enrollment information.
Citizenship/Residency Information (Required)
Country of Citizenship _______________________________________________________
What U.S. State/Posession do you regard as your permanent home? ________________________________________
Do you claim California Residency? (yes/no) ______________________
Have you lived in California continuously since birth? (yes/no) ______________________
If No to the question above, when did your present stay in California begin? (month/day/year)___________________
Enrollment
Management
Registrar’s Office
One University Drive
Camarillo, CA 93012
Phone: (805) 437-8500
Which of the following describes the reason why you stopped attending CSU Channel Islands? (check all that apply)
Was not eligibile to return because of grades
Could not afford to return
Decided to take the semester off
Struggled to pass classes
Transferred to another institution
Could not get the class(es) that I needed
CSUCI did not have the major that I was interested in
Personal Reasons (health, family situation, etc.)
Other ___________________________________
Are you any of the following? (check all that apply)
Veteran
Military Dependant
Not a member of the military
Did you attend any other college/university during your absence from CSUCI? (If yes, fill out the information below)
Institution
Location
Dates of Attendance
Units Completed
(Required)
CERTIFICATION – I certify that my statements on this application are true and complete to the best of my knowledge. I
acknowledge that eligibility to enroll in courses at CSUCI is contingent upon having paid any fees that are owed and taken care of any
account holds. I understand that any misrepresentation of information may be cause for denial or cancellation of admission or
enrollment.
Student’s Name (Printed) __________________________Student’s Signature____________________________ Date _________
Advisor’s Name (Printed) _________________________Advisor’s Signature_____________________________ Date _________
Major Catalog Year Request: ________________________ GE Catalog Year Request:__________________________
NOTE: Student must have catalog rights to the year requested. If student has not maintained continuous enrollment at a CSU or CA community
college, a Petition for Exception to Academic Policy will be required.
Notes: _______________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
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