CALIFORNIA STATE UNIVERSITY CHICO
FINANCIAL SERVICES
STUDENT FINANCIAL SERVICES
STUDENT SERVICES CENTER
ROOM 230
CHICO, CA 95929-0242
530-898-5936
www.csuchico.edu/sn
Purpose: Use this form to request a reversal of the per unit Graduate Professional Business Fee (MBA)
for any course not required to meet degree requirement. Please complete the form, have it signed by the
director of the MBA program, and then bring the completed form to Student Financial Services, CSU Chico,
SSC 230, Chico, CA 95929-0242
PERSONAL INFORMATION AND COURSE DETAILS
Name: Chico State Student ID:
Address:
Phone: Email:
Term: Emphasis:
Elective Course: # of Units:
SIGNATURE PRINT NAME DATE
SIGNATURE PRINT NAME DATE CAMPUS EXT.
CAMPUS APPROVALS
I understand that the elective course(s) noted above cannot be counted towards degree requirements for the MBA degree and will not be included as
required or optional courses on the Master’s Degree Graduation Clearance Form. Should it be determined in the future that this course is used as fullling
degree requirements, the fee reversal will be rescinded and I will be responsible for payment of the per unit Graduate Professional Business Fee before
the form is approved by the College of Business.
Student:
Coordinator of MBA Program:
Last, rst, MI
Street/Apt, City, State, ZIP
Name, number
Reversal of Graduate
MBA Fee for
Elective Course
SFIN: Reversal of Graduate Student MBA Fee for Elective Course Updated May 2014
SFIN USE ONLY Received: Units Reversed: By:
