Course Substitution
General Education/Graduation Requirement
Name ______________________________________________________________ Student ID ___________________________
E-mail _____________________________________________________________ Phone ______________________________
List the courses you wish to have considered for substitution below. Attach a photocopy of the catalog course description or a
course syllabus for each course (syllabus strongly recommended.) If you have attended more than one institution, please turn in a
separate form for each institution. An incomplete form may delay a decision on your substitution request.
A specific grade requirement may
change the substitution decision. Please attach an unofficial transcript as proof of grade and review catalog for minimum grade required.
Tra
nsfer Institution _____________________________________________________________City/State _________________
Subject/
Year
CSU Channel Islands GE or
Graduation Requirement
Comments:
Stu
dent’s Signature ________________________________________
Date _______________________________________
Please sign and return to Enrollment Services, Sage Hall. You
may also turn in this form via mail or e-mail to
registrar@csuci.edu. The form will be routed for review on
your behalf.
A decision and/or response will be communicated via Dolphin email, per
the student communication policy (SP04-20) (SA.07.008).
Administrative Use Only-GE Committee
Comments: ______________________________________________________________________________________________
GE Chair Signature: ___________________________________________________________ Date: ________________________
***PLEASE FORWARD
FORM TO REGISTRAR'S OFFICE AFTER REVIEW***
Administration Use Only-Registrar's Office
Processed by: _________ PS Update: __________ Student Notified: ___________
Revised 4/4/19
Enrollment Management
Registrar's Office
One University Drive
Camarillo, CA 93012
Phone: (805) 437-8500
www.csuci.edu
General Education Categories
A-1 Oral Communication
A-2 English Writing
A-3 Critical Thinking
B-1 Physical Sciences
B-2 Life Sciences-Biology
B-3 Laboratory component
B-4 Math/Quantitative Reasoning
C-1 Art
C-2 Humanities
C1/C2 Additional Area C course
D Social Perspectives
E Human Psychological & Physiological Perspectives
Language (C- or better; Graduation Requirement)
Multicultural (Graduation Requirement)
(Staff initials)
(Date)
(Date)
