Enrollment Services
Records and Registration
One University Drive
Camarillo, CA 93012
Phone: (805) 437-8500
CARR and Transfer Credit Discrepancy
Resolution Request
Name
Student ID Phone
If you have applied to graduate do not file this form. Please check the applicable box(s) and explain the discrepancy in the space
provided. You may be required to provide documentation.
Comments:
Student's Signature Date
Original Correct
Date
Major Concentration/Emphasis &/or Minor
1. My CARR reflects inaccurate course placement in GE or Major/Minor area that I believe meets general education at
CI. Note: You may be required to submit a Substitution Request or Petition for Exception to the appropriate faculty member if
course placement is not a processing error.
Transfer Institution:
City/State:
Transfer Course CSU Channel Islands GE or Major Area
Subject/
Number
Course Title
Term/ Year
Taken
Grade Area Area Title
2. CARR does not reflect my official General Education Certification.
Transfer Institution: Date Submitted to CI:
3. A substitution or waiver is incorrect on my CARR. Attach a copy of your Substitution Request or Petition for Exception.
Describe the problem below:
4. My CARR reflects an incorrect or missing major, second major, emphasis or minor. Attach a copy of your approved
Change of Major approval.
5. Other. If you feel there is an error on your CARR, please describe it below. Attach a copy of the report with the issue
annotated.
Comments:
*A decision and/or response will be communicated via Dolphin email, per the student communication policy.*
Return completed request to the Enrollment Center, Sage Hall, Room 1020.
For Records Use Only:
Corrected
Comments
Date received:
Processed by:
Communication to student
Date:
