Fillable TRANSFER ADMISSIONS APPEAL FORM Fall or Spring (California State University Channel Islands)

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TRANSFER ADMISSIONS APPEAL FORM Fall or Spring (California State University Channel Islands)

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Admissions & Recruitment
Sage Hall 1020
One University Drive
Camarillo CA 93012
admissions@csuci.edu
TRANSFER ADMISSIONS APPEAL FORM
Name: Dolphin ID#:
Term of Application:
Fall or Spring
Term 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 letter states that your admission was DENIED due to not being CSU eligible or that your
admission was rescinded or cancelled for not having met admission requirements, then the following
documents must be received by CSUCI within 15-business days of the date on your Denial or Rescind
Notice in order for your appeal to be considered:
o Transcripts from all colleges and universities attended even if (a) no credit was earned
and/or (b) course credit is reflected on another school’s transcript. International Transcripts:
If you have taken coursework from an institution outside of the United States, your transcript must
be evaluated by a credentials evaluation service, such as International Education Research
Foundation (IERF) at www.ierf.org
. A detailed report with course level identification from the
credential evaluations service must be included as part of your appeal package.
o A receipt showing that your transcript was ordered. NOTE: All transcripts must be
received within the 15-business days referenced above.
o Advanced Placement (AP) examination scores and/or International Baccalaureate (IB)
transcripts (if applicable). NOTE: If you are unable to obtain AP or IB scores within the
required 15-business days, then you must submit written proof that you have ordered
the scores AND include an unofficial copy of your test scores.
o If you are an incoming lower-division transfer student (with less than 60 semester/90
quarter transferable units), you must also submit an official High School transcript and
SAT/ACT test scores.
o Military documents if applicable (DD214, Joint Services Transcripts (JST), Community
College of the Air Force transcript).
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4. For individuals with disabilities must provide supporting documentation and historical verification of their
disability. CI 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.
5. 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 Letter/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.
6. If you were not accepted to the Nursing Program, please note that decisions made by the Nursing
Program cannot be appealed. However, if you would like for your admissions to be reconsidered
under an alternate major, please indicate an alternate major below. Your application will be
reevaluated to determine your CSU eligibility under your alternate major. Please review my
application for CSU Eligibility under my Alternative Major: ________________________.
We strongly advise you to e-mail your completed appeal packet to admissions@csuci.edu
. You
may also mail in your appeal packet 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
Reviewer:
Date Reviewed:
Admissible:
Referred to Committee on:
Notes for Committee:
Date Reviewed by
Committee:
Appeal Granted by Committee:
Appeal Denied by Committee:
Notification sent by:
Admission Basis Code/Exception Reason:
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TRANSFER ADMISSIONS APPEAL FORM Fall or Spring (California State University Channel Islands)

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Completed 28 January 2021

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