The California
State University
Application for Intrasystem Visitor Enrollment
IVE
(See instructions on next page)
This application is to be used by California State University students who wish to enroll as a visitor at another CSU campus.
PART I. TO BE COMPLETED BY STUDENT
(A) 1. Home campus
2. Proposed host campus
3. Semester/Quarter of enrollment at Host Campus:
4. Home campus student ID #
5. Have you previously attended the proposed host campus?
Yes No
If yes, what was the last term of attendance? (term/year)
6. Legal name
Last First Middle Maiden
7. Social Security Number
*
8. Date of birth
Month Day Year
9. Mailing address
Street # City State Zip
10a. Home telephone # ( )
10b. Message telephone # ( )
10c. FAX # ( ) 10d. E-Mail
11. Class level at time of planned enrollment:
Freshman Sophomore Junior Senior Graduate Postbaccalaureate
12. Major field________________________________________ and/or credential objective________________________
13. Are you receiving financial aid? Yes No
(B) Listing of course(s) planned at host campus: Care should be
taken to assume that coursework at host campus can be used to meet home campus
requirements.
Courses at Host Campus
(Use additional sheet if necessary)
Units
Q S Equivalent Courses at Home Campus
Units
Q S
Dept. Chairman
Approval
I certify that the information I have entered above is true and that I have read and understand the eligibility requirements, enrollment conditions and
procedures as stated.
Student's Signature Date
PART II. TO BE COMPLETED BY HOME CAMPUS
Residence status for fee purposes: Resident
Nonresident
County of residence
International (Visa) student at time of enrollment: No U Yes U
Maximum total units approved
Fee and/or Nonresident Payment
Certification
Fees Paid for ___________term
of___________ = $__________
(year)
__________________________
Signature of Home Campus Official
REGISTRAR'S CERTIFICATION: I certify that this student's residence and Academic status are correct
according to the official records of this campus, that the student is eligible as of this date to register as a
continuing student, that the student qualifies for temporary transfer in accordance with Section 40808 or
41030 of Title 5, that the student has complied with pertinent health-related requirements, and that this
institution approves this request for temporary enrollment for one term only.
Signature Date
Title
Home Campus
PART III. TO BE COMPLETED BY HOST CAMPUS
Fee Payment/Nonresident
Tuition Certif
ication
Fees Paid for ___________term
of ________(if any) = $_______
(year)
____________ _____________
Initial and date of Certifying Official
A. Approval for enrollment at host campus: Granted U Denied U Date
Remarks
Signature Title
B. The student registered: Date Number of Units
Signature
Title
CSU Host Campus
*
Not used as an ID number and will not be communicated to third party.