RequesttotakeUndergraduateCoursesviaOpenUniversity(1/28/2014)
REQUESTTOTAKEPREREQUISITECLASSESVIAOPENUNIVERSITY
DepartmentofCommunicativeDisorders&DeafStudies
CaliforniaStateUniversity,Fresno
Fresno,CA937408022
(559)2785187(FAX)(559)2782423(VOICE)/(559)2782856(TTY)
Pleasetypeintheinformationandprinttheapplication.Donotsubmitahandwritten
application.
Name:Date:
Address:

Phone:
EmailAddress:
Iamapplyingtotakeprerequisitecoursesinin:□SpeechLanguagePathology
Beginningin □Fall□Spring 
(year)
EducationalBackground
SchoolAwardingBachelor’sDegree:
Major:
YearDegreeAwarded(ExpectedorEarned):
Instructions:
1. CompletethisformandsendittotheGraduateCoordinator.
2. Requestanofficialcopyofyourtranscriptfromtheirbachelor’sdegreeawarding
universitybesenttoyou.Studentsmusthaveaminimum3.0overallGPAontheir
degreeawardingtranscripttobeconsidered.
3. Sendthisrequesttogetherwithonecopyofyourofficialtranscript(intheUNOPENED
envelopefromtheuniversity)fromyourBachelorsdegreeawardingschoolsentto...
StevenL.Skelton,Ph.D.
GraduateCoordinator
DepartmentofCommunicativeDisorders&DeafStudies
CaliforniaStateUniversity,Fresno
5310N.CampusDr.M/SPH80
FresnoCA937408022
SubmissionmustbebyNovember1sttobeginthefollowingspringsemesterandbyApril1st
tobeginthefollowingfallsemester.