Fillable FRESHMAN ADMISSIONS APPEAL FORM (California State University Channel Islands)

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FRESHMAN ADMISSIONS APPEAL FORM (California State University Channel Islands)

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Admissions & Recruitment
Admissions Appeal Sage Hall 1020
One University Drive
Camarillo CA 93012
admissions@csuci.edu
FRESHMAN ADMISSIONS APPEAL FORM
Name: Dolphin ID#:
Term of Application:
Fall or
Spring
Year:
Email: Contact Number #:
Current School Attending:
INSTRUCTIONS:
1.
Attach a typed statement that explains your reason for appealing. The personal statement must be
completed by the applicant. In order for us to best understand the nature of your appeal, please
use proper grammar and punctuation.
2.
Include documentation to verify any claims made in your statement regarding hardship, illness, or
other extenuating circumstances. A personal statement does not constitute documentation.
Letters of recommendation will not be considered. IMPORTANT: Documentation related to
sensitive personal or medical issues should be the minimum necessary to understand your
hardship, illness, or other extenuating circumstance. Documentation will NOT be returned,
so please do NOT submit original copies.
3.
If our email states that your admission was DENIED due to not being CSU eligible, then the
following documents must be ATTACHED along with the completed Appeal form
AND emailed to admissions@csuci.edu within 15-business days of the date on your
Denial Notice:
o A copy of your high school transcript with sixth-semester grades posted. If you took
college courses, then you will also need to include a copy of your college transcript.
o Enrollment verification of courses enrolled for the final semester or course
grades (if not listed on your transcript).
o A copy of any AP/IB test scores (if applicable).
4.
If our email states that your admission was rescinded or cancelled because you failed to meet
an admission requirement(s), then the following documents must be received by CSUCI within
15-business days of the date on your Rescind/Cancellation email:
o Official Transcripts not previously submitted directly to CSUCI from all high schools and
colleges attended.
o Test scores that were not previously submitted directly to CSUCI by your school or test
provider (AP/IB test scores, if applicable).
RESET FORM
5.
For individuals with disabilities must provide supporting documentation and historical verification
of their disability. CSUCI will evaluate disability documentation using guidelines established by the
California State University (CSU) system. All appeals are reviewed on a case-by-case basis.
IMPORTANT: Documentation will NOT be used to determine accommodations if your
appeal is successful. Students must contact Disability Accommodation and Support Services
(DASS) to request services. Documentation provided as part of your appeal packet will
NOT be shared with DASS but will be treated in a professional and confidential manner.
6.
If you missed the deadline for submitting final official transcripts and/or official AP test scores, you
must submit a Request for an Admissions Appeal within 15-business days from the deadline noted
in the Admissions Rescind email. Failure to adhere to deadlines is not likely to be viewed favorably
by the Admissions Appeal Committee. Students are responsible for complying with all deadlines
and instructions listed on our website.
Email your completed appeal packet to admissions@csuci.edu. Submit official transcripts by
mail or electronically to the address listed below. Due to the high number of appeals we
receive, we are unable to confirm receipt of your appeal.
MAILING INSTRUCTIONS
Mail (faxes will NOT be accepted) this form and supporting documentation to:
Admissions Office
RE: Admissions Appeal
CSU Channel Islands
Sage Hall 1020
One University Drive
Camarillo, CA 93012-8599
If you are determined to be admissible, you will receive an e-mail from the appeals committee. If your
appeal is not successful, then you will receive an e-mail notifying you of the outcome. Please allow 4
weeks for processing.
I have read the Admissions Appeals Process and above instructions and understand that I must submit all
documentation by the stipulated deadline or my packet will be considered incomplete. I further understand that
incomplete packets will be automatically denied and no further appeals will be allowed.
Signature Date
OFFICE USE ONLY
Date Reviewed:
Admissible:
Referred to Committee on:
Date Reviewed by
Committee:
Appeal Granted by Committee:
Appeal Denied by Committee:
Notification sent by:
Admission Basis Code/Exception Reason:
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FRESHMAN ADMISSIONS APPEAL FORM (California State University Channel Islands)

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Completed 28 January 2021

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