UNDERGRaDUatE
ApplicAtion for Admission
Apply online at www.csumentor.edu
SUmmER & fall
Contents
Nondiscrimination Policy Information
ii
Campus/Program Impaction
ii
Instructions for Undergraduate Admission 2014-2015
When Can I Apply for Admission
1
How to Apply to the California State University (CSU)
1
How do I find out if I am admitted or not?
2
Where can I find more information about the campus?
2
First-time Freshmen Admission Requirements
3
CSU Placement Tests (EPT and ELM)
4
Lower-Division Transfer Requirements
5
Upper-Division Transfer Requirements
5
PDF Application Form for Undergraduate Admission
Section A – Enrollment/Application Information
U1
Section B – Personal/Applicant Information
U2
Section C – California State Residency Information
U2
Section D – Demographic Information
U3-5
Section
E
–
Military
Information
U6
Section F – Family Education, Income and Size Information
U6
Section G – Degree Objective/Teacher Credential Information U6-7
Section H – High School and College Attendance
U7
Section I – Test Information/Requirements
U8
Section J – EOP Information
U8
Section
K
–
High
School
Preparation
U9
Section L – Transfer Information
U10
Section M – Miscellaneous Information
U11
Section N – Certification
U12
Campus Office of Admission Information
Last Page
Nondiscrimination Policy
Race, Color, Ethnicity, National Origin, Age, Religion and Veteran Status
The California State University (CSU) does not discriminate on the basis of race, color, ethnicity, national origin, age, religion or veteran status in its programs and activities, including admission and access. Federal and state laws, including Title VI of the Civil Rights Act of 1964 and the California Equity in Higher Education Act, prohibit such discrimination. Each CSU campus’ Discrimination, Harassment and Retaliation Administrator has been designated to coordinate the efforts to comply with all applicable federal and state laws prohibiting discrimination on these bases. Inquiries concerning compliance may be presented to this person.
Disability
The California State University does not discriminate on the basis of disability in its programs and activities, including admission and access. Federal and state laws, including sections 504 and 508 of the Rehabilitation Act of 1973 and the Americans with Disabilities Act of 1990, prohibit such discrimination. Each CSU campus’ Discrimination, Harassment and Retaliation Administrator has been designated to coordinate the efforts to comply with all applicable federal and state laws prohibiting discrimination on the basis of disability. Inquiries concerning compliance may be presented to this person.
Sex/Gender/Gender Identity/Sexual Orientation
The California State University does not discriminate on the basis of sex, gender, gender identity or sexual orientation in its programs and activities, including admission and access. Federal and state laws, including Title IX of the Education Amendments of 1972, prohibit such discrimination. Each CSU campus’ Title IX Coordinator has been designated to coordinate the efforts to comply with all applicable federal and state laws prohibiting discrimination on these bases. Inquiries concerning compliance may be presented to this person.
Information on Nondiscrimination Policy above may also be viewed at http://www.calstate.edu/sas/nondiscrim.shtml. Click at the bottom of the page for the list of individual campus Title IX coordinators or go to the following URL:
http://www.calstate.edu/sas/documents/CampusTitleIXCoordinators.pdf.
The CSU is committed to providing equal opportunities to male and female CSU students in all campus programs, including intercollegiate athletics.
Campus/Program Impaction
In the California State University, undergraduate major or campus is designated as impacted whn the number of CSU eligible applications received in the initial filing period (October 1 to November 30 for fall term) is greater than the number that can be accommodated by the major or campus. CSU campuses have been authorized to use supplementary admission criteria to screen applicants to these majors and/or campuses. Please visit the following websites to get more information on CSU impaction:
http://www.calstate.edu/sas/impactioninfo.shtml
http://www.calstate.edu/sas/impaction-campus-info.shtml
It is best practice to check with the individual campus where you are applying for to find out the most up-to-date information on campus and program impaction, including admission supplemental criteria.
To find relevant information for a specific CSU campus, visit http://www.calstate.edu/search_find/campus.shtml. To search for a specific degree, program or major of your choice, go to http://degrees.calstate.edu.
To find online information on admission, outreach, and financial aid, go to http://www.calstate.edu/sas/soafar.shtml. To find information on tuition fees, go to http://www.calstate.edu/admission/fee.shtml.
ii
Using
www.csumentor.edu
is the fastest and easiest way to apply to the CSU!
THE CALIFORNIA STATE UNIVERSITY Undergraduate Application 2014-2015
When Can I Apply for Admission?
You are urged to apply as early as possible. Applications for impacted programs must be filed during the initial filing period (first month of the filing period or October and November for fall terms). If applying after the initial filing period, consult the campus Admission Office for current information. You may also visit the CSUMentor website.
Summer Semester or Quarter 2014 February 1, 2014 Fall Semester or Quarter 2014 October 1, 2013 Winter Quarter 2015 June 1, 2014 Spring Semester or Quarter 2015 August 1, 2014
Note: All first-time freshman applicants must apply during the initial application filing period (October 1 through November 30) and must provide SAT or ACT scores to be considered for fall admission. Please check with the specific CSU campus of your choice for required dates in taking the SAT or ACT tests. Most campuses recommend applicants to take SAT or ACT no later than November for Fall admission consideration; some no later than December, and a few no later than October.
How to Apply to the CSU
1. Collect the following materials for completing the application:
• Your high school and/or college transcripts;
• Your test scores: SAT, ACT, AP, TOEFL (whichever is/are required or relevant); and
• The application fee of $55 (check, money order, or
credit card when applying electronically) OR obtain an application fee waiver from a CSU campus or download the form from CSU Mentor under the section “How can I get help with the application fee?” at www.csumentor.edu/faq/finaid_costs.asp.
Make sure the form reflects the year 2014-15 and
send the Application Fee Waiver Form to the specific
CSU campus where you are applying for. (Please do
not send it to the Office of the Chancellor.)
2. Complete the Application
Almost all CSU applications for admission are submitted online. To apply online for admission to any of the 23 CSU campuses, please visit CSUMentor at www.csumentor.edu. CSUMentor is available 24
hours, 7 days a week. For technical support, help is available by calling (800) GO-TO-XAP or (800) 468-6927, or by e-mail at: [email protected].
If you are applying online, your completed admission application will be forwarded automatically to the campus(es) of your choice.
Check the application filing dates of the campus
you are interested in to be sure applications are still being accepted. For impacted campuses or programs, you must submit your application during the filing period (October 1 thru November 30) for the
following year/fall term. August is the initial filing
month for spring term.
Example: October and November 2013 will be the initial filing period for fall 2014; August 2014 will be the initial filing month for Spring 2015.
• Electronic Application: CSUMentor will be available for students to submit fall 2014 applications on
October 1, 2013. Log on to www.csumentor.edu.
You may pay:
• with a credit or debit card; or • submit a check; or
• complete the application fee waiver on
CSUMentor.
If you are unable to apply online, you may obtain
an application by downloading a PDF file from the
CSUMentor website. Instructions on how to download
a portable data format (PDF) application and where to
send it are also provided at www.csumentor.edu or at
www.calstate.edu/sas/publications.
To print a PDF version of the CSU application, go to
www.calstate.edu/sas/publications. Online application instructions for freshman and transfer admissions may be viewed www.calstate.edu/sas/publications. You should submit the completed PDF application to the
admission office at the campus(es) where you want to apply.
If you are interested in Educational Opportunity Program (EOP), complete sections F & J (application
form), and complete the EOP supplemental application (PDF) or on CSU Mentor. The PDF version of the EOP application may be downloaded
from www.calstate.edu/sas/publications.
3. Apply for financial aid
The Free Application for Federal Student Aid
(FAFSA) can be accessed through www.csumentor. edu. You may also authorize CSUMentor to begin your FAFSA application after January 1 by providing data from your electronic admission application. All applicants applying for financial aid through the FAFSA (www.fafsa.gov) or through the Dream Act
(www.CalDreamAct.org) application should apply between January 1 and March 2 to receive priority processing.
Ask your school to submit your GPA electronically
to the California Student Aid Commission by the March 2nd filing deadline for Cal Grant funds.
1
THE CALIFORNIA STATE UNIVERSITY Undergraduate Application 2014-2015
4. If you are admitted, arrange to take the English Placement Test (EPT) and/or the Entry Level Mathematics (ELM) exam as soon as possible unless you are exempt. CSU placement tests (EPT and ELM), if required, should be taken on a test date after
admission but before the first Saturday in May of your senior year in high school.
For general information on placement tests and test
dates, check the most current CSU placement test
information bulletin OR visit www.ets.org/csu. You should also call the campus testing office where you want
to take the test.
How do I find out if I am admitted to a CSU
campus or not?
You will receive an application acknowledgment from the campus to which you applied. Read it carefully and follow any instructions about when to send in
documents or when to take placement tests.
Application acknowledgement may come in the form of an email or letter. Make sure the campus has the correct and valid email address and/or mailing address
on file. You should check the CSU campus where you
were admitted to find out important information on enrollment confirmation and deadline, and deposit, if
required. You should respond to campus requirement
and deadline on statement to register or to enroll or accept admission offer. Make sure that you do not miss
the deadline.
You will receive notification of your admission status.When you are admitted to the campus, you will receive information about orientation, registration, and other activities for new students. Some campuses
communicate to applicants via e-mail to the e-mail
address that is provided on the application. It is the
applicant’s responsibility to check this e-mail and ensure
its accuracy.
What happens if my first-choice campus is full?
If your first-choice campus is unable to accommodate
you after the initial filing period, it may be possible to
“re-route” your application to another campus. If you appear
to be CSU eligible and your first-choice campus is full, you may be offered a chance to be re-routed to one CSU
campus that is “open.”
Is it possible to attend in the summer and pay the
same fees as charged for other terms?
Yes, some campuses offer opportunities for year-round enrollment. You should inquire with the campus where you plan to enroll about year-round enrollment
opportunities or admission to begin in the summer term.
Where can I find more information about the
campus to which I am applying?
Log on to www.csumentor.edu for information about all
the CSU campuses. You may view “campus facts” for any
CSU campus by clicking on “Explore Campuses” or at
www.calstate.edu/explore/campus_addresses.shtml.
2
The following links will be helpful in filing out your application (online or pdf):
Admission Handbook (pdf):: www.calstate.edu/admissionhandbook
Associate Degree for Transfer: www.adegreewithaguarantee.com
Campus Admission Office: www.calstate.edu/search_find/campus.shtml
Campus and Program Impaction: www.calstate.edu/impactioninfo.shtml
EOP Application (pdf): www.calstate.edu/sas/publications/documents/EOPapplicationbooklet.pdf
Freshman Admission Requirements: www.calstate.edu/firsttimefreshmen
Graduate Application (pdf): www.calstate.edu/sas/publications/documents/applicationbooklet-graduate.pdf
Instructions on Freshman Application: www.calstate.edu/sas/publications/documents/freshmaninstructions.pdf
Instructions on Transfer Application: www.calstate.edu/sas/publications/documents/transferinstructions.pdf
Undergraduate Majors/Degrees: www.calstate.edu/degrees
Undergraduate Application (pdf): www.calstate.edu/sas/publications/documents/applicationbooklet-undergrad.pdf
THE CALIFORNIA STATE UNIVERSITY Undergraduate Application 2014-2015
How do I meet the minimum eligibility
requirements for the CSU?
You are eligible for admission if you:
• Have or will have graduated from high school.
• Meet the eligibility index with your grade point
average and test scores (see the formula below).
• Have or will have completed with a grade of C
or better a pattern of courses that total 15 units
(see below). A “unit” is one year of study in high
school.
You may be required to meet higher admission requirements for impacted programs or campuses.
What is the eligibility index?
Use this formula to see if your grade point average
and test scores meet the required eligibility index:
SAT Scores: ( ______ x 800) + your SAT Total*
Your high school GPA (All approved college
prep “a-g” courses taken in 10th, 11th, and
12th grades)
My index is __________
ACT Scores: ( ______ x 200) + (10 x ACT Composite)*
Your high school GPA (All approved college
prep “a-g” courses taken in 10th, 11th, and
12th grades)
My index is __________
*The CSU does not include the SAT or ACT writing scores in the Eligibility Index.
California residents must have a minimum index of
2900 using SAT scores or 694 using ACT scores.
Non-California residents must have a minimum
index of 3502 using SAT scores or 842 using ACT
scores.
GPA below 2.00 does not qualify for CSU regular
admission.
The complete Eligibility Index tables for California
resident and nonresident students are available at
www.csumentor.edu.
What are the 15 units of courses I need?
You must complete with a grade of C or better the
following pattern of college preparatory subjects
totaling 15 units:
2 years: Social Science, including one year of U.S.
History or U.S. History and Government
4 years: English
3 years: Mathematics (Algebra I, Geometry, and
Algebra II; or integrated mathematics
including these topics)
2 years: Science with a laboratory (one year
biological and one year physical)
2 years: Language other than English (same
language)
1 year: Visual and Performing Arts: Art, Dance,
Theatre/Drama, or Music**
1 year: Elective chosen from the subject
areas listed above or approved college
preparatory elective courses
**One year of one discipline, e.g., art, drama, dance,
or music.
Where can I learn more about CSU admission,
placement, and testing requirements?
There are a number of websites that contain more
information about CSU requirements related to
admission and required competencies in English
and mathematics:
CSUMentor: www.csumentor.edu
CSUMentor allows you to explore campuses; learn
about admission requirements and services
avail-able to students; and learn about financial aid.
English Success: www.csuenglishsuccess.org
The English Success website provides information
and authoritative advice on how to meet the CSU
English Placement Test (EPT) requirements and
includes practice tests to help students get ready for
college-level English.
Mathematics Success: www.csumathsuccess.org
The Math Success website offers authoritative
advice and information on how to meet the CSU
Entry Level Mathematics (ELM) requirement,
and provides access to preparatory tools such as
online tests, personalized assessments, and
real-time online math tutoring.
GPA ACT Composite Score SAT Total Score
3.0 No minimum score required
2.8 14 660
2.6 18 820
2.4 22 980
2.2 26 1140
2.0 30 1300 California Resident Eligibility Index Examples
First-Time Freshman Admission Requirements
THE CALIFORNIA STATE UNIVERSITY Undergraduate Application 2014-2015
How can I be exempt from the CSU placement
tests?
English Placement Test (EPT)
The English Placement Test (EPT) is designed
to assess the level of reading and writing skills of
students entering the California State University
(CSU). The CSU EPT must be completed by
all non-exempt entering undergraduates prior
to enrollment in any course, including remedial
courses. Students who score 147 or above on the
EPT will be placed in college-level composition
classes.
Exemptions from the EPT are granted only to those
who present proof of one of the following:
• A score of “Exempt” or “Ready for college-level
English courses” on the CSU Early Assessment
Program (EAP) taken along with the English
Language Arts California Standard Test in grade 11
• A score of “Conditionally ready for college-level
English courses” or “ Conditional” on the CSU
Early Assessment Program (EAP) taken on grade 11,
provided successful completion of the Expository
Reading and Writing Course (ERWC), AP English,
IB English or an English course approved for extra
honors weight on the University of California “a-g”
Doorways course list.
• A score of 500 or above on the critical reading
section of the College Board SAT Reasoning Test
• A score of 22 or above on the American College
Testing (ACT) English Test
• A score of 3 or above on either the Language
and Composition or Composition and Literature
examination of the College Board Scholastic
Advanced Placement Program
• Completion and transfer to CSU of the credits
for a college course that satisfies the CSU General
Education requirement in English Composition,
provided such a course was completed with a grade
of C or better
Entry Level Mathematics (ELM) Examination
The Entry Level Mathematics (ELM) Examination
is designed to assess and measure the level of
mathematics skills acquired through three years of
rigorous college preparatory mathematics coursework
(Algebra I and II, and Geometry) of students
entering the California State University.
The CSU ELM must be completed by all
non-exempt entering undergraduates prior to
enrollment in any course, including remedial
courses. Students who score 50 or above on the
ELM will be placed in college-level mathematics
classes.
Exemptions from the ELM are granted only to
those who present proof of one of the following:
• A score of “Exempt” or “Ready for
college-level Mathematics courses” on the CSU Early
Assessment Program (EAP), taken in grade 11 in
conjunction with the CST in Summative High
School Mathematics or Algebra II
• A score of “Conditionally ready for
college-level Mathematics courses” or “Conditional” on
the CSU Early Assessment Program (EAP) taken
in grade 11 along with the California Standards
Test in Summative High School Mathematics
or Algebra II, provided successful completion of
a CSU-approved 12th grade math course that
require Algebra II as a prerequisite.
• A score of 550 or above on the mathematics
section of the College Board SAT Reasoning Test
• A score of 550 or above on a College Board SAT
Subject Test in Mathematics (level 1 or level 2)
• A score of 23 or above on the American College
Testing (ACT) Mathematics Test
• A score of 3 or above on the College Board
Advanced Placement Calculus AB or Calculus BC
exam
• A score of 3 or above on the College Board
Advanced Placement Statistics examination
• Completion and transfer to CSU of a
college course that satisfies the requirement in
Quantitative Reasoning, provided such a course
was completed with a grade of C or better
Can I take the EPT/ELM tests at any CSU
campus?
Yes. You should also indicate on the test form the
CSU campus(es) that should receive your scores.
For more information about the CSU EPT/ELM
examinations including test dates and test centers,
visit
www.ets.org/csu.
Note: Failure to take the ELM/EPT exams by
the designated deadlines will affect eligibility to
enroll at a CSU campus.
THE CALIFORNIA STATE UNIVERSITY Undergraduate Application 2014-2015
Lower-Division Transfer Admission
Requirements
Some campuses restrict or prohibit the enrollment of
lower-division transfer students. California residents
may be eligible for CSU admission with fewer than
60 transferable semester units (90 quarter units) if
they:
• Have a college grade point average of 2.00 or better
in all transferable college units attempted.
• Are in good standing at the last college or
university attended, i.e., eligible to re-enroll.
• Meet the admission requirements for a first-time
freshman or have successfully completed necessary
courses to make up the deficiencies they had in
high school if they did not complete the 15-unit
(a-g) pattern of college preparatory subjects.
• Meet the eligibility index required of a freshman.
Some campuses may require lower-division transfer
students to have completed English composition and
general education mathematics prior to transfer.
Some campuses do not admit lower-division
transfer students. Contact your campus of choice
to determine whether there are admission limits on
the number of lower-division transfer students.
Students who completed college units before they graduated from high school or during the summer between high school graduation and CSU enrollment are considered first-time freshmen and must meet those admission requirements. For more information regarding general education and pre-major requirements, please consult your community college counselor and visit www.assist.org.
5
If I am a lower-division transfer applicant and
I do not meet the eligibility index from high
school, what do I do?
It is highly recommended that you continue your
education at a community college and complete 60
or more transferable semester units (90 quarter units)
before attempting to transfer to a CSU. You should
complete as many of the general education and
pre-major requirements as possible.
Upper-Division Transfer Minimum
Eligibility Requirements
You are eligible for admission with 60 or more
transferable semester units (90 quarter units) if
you:
• Have a college grade point average of 2.00 or
better in all transferable college units attempted.
• Are in good standing at the last college or
university attended, i.e., you are eligible to
re-enroll.
• Have completed or will complete prior to
transfer at least 30 semester units (45 quarter
units) of courses equivalent to general education
requirements with a grade point average of
C or better. The 30 units must include all
of the general education requirements in
communication in the English language (English
composition, oral communication, and critical
thinking) and at least one course of at least 3
semester units (4 quarter units) in college-level
mathematics.
1. This is an application for admission to _________________________________________________________
Check one term only
Summer Quarter or Semester 2014 Fall Quarter or Semester 2014
Winter Quarter (or term) January 2015 Spring Quarter or Semester 2015
2. If you have previously applied to or attended this campus, please list:
Term of Application Last Term Attended
3. Legal Name
4. Other Name(s) that may appear on your academic records
5. Current Mailing Address
6. Permanent Address (if different from current as indicated above)
-7. Permanent Residence (if you live in California, list county of residence) If you live outside of California, list other U.S. state or territory:
OR Country of residence:
8. Primary Telephone 9. Cell Phone
10. E-mail address _______________________________________________
Main Campus Off-Campus Center
The California State University
Attach the $55 (U.S.) application fee payable to The California State University. The fee is non-refundable and may not be transferred to another term. Please print responses in black ink. A response to each item is mandatory unless otherwise indicated.
Application for
Undergraduate Admission
2014-2015
U
Section A
(Enrollment/Application Information)
(Do not send this application form to Chancellor’s Office)
[E-mail is a primary means of communication with applicants. CSU campuses will send important messages to you using the e-mail address that you list on this application. It is your responsibility to check this e-mail account regularly and read your messages from the CSU. Be sure to notify the campus(es) if this e-mail address changes.]
Name of CSU Campus
Term Year Suffix (e.g., Jr., Sr.) Apartment Country, if not USA Last Name Middle Name
Last Name First Name Middle Name
Number Zip Code State/Province City Zip Code State Area Code Apartment
Street Number Street Name
Number Area Code
Street Number Street Name
Y Y Y Y
Y Y Y Y
International Postal Code First Name City Term Year
1
(Send this application to the campus indicated above.)
11. Birthdate 12. Sex (Enter M or F)
13. Social Security Number 14. Statewide Student ID
15. Country of Citizenship (All must answer.)
16. Citizenship (Select one of the codes below and enter in box. All must answer.)
Y – U.S. Citizen R – Refugee/Asylee F – F Visa (student) J – J Visa N – None of the above
I – Immigrant I-551 (“green card”) Date Issued (Provide the date issued and be prepared to submit verification.)
O – Other Visa (specify) Date Issued
17. If you were born outside the U.S., what year did you or will you move to the U.S.
Residence Classification Information
(Your responses to the following questions are required to make a preliminary assessment of your residency status for admission and tuition fee purposes. The campus may request additional information prior to making a final residency determination.)
18a. If YOU ARE less than 19 years old on the Residence Determination Date, AND you ARE NOT a foster youth, orphan, or ward of the court, please answer the following questions as they pertain to the parent with whom you most recently resided:
1. What U.S. state/possession does your parent regard as his/her permanent home? _____________________________
2. Does your parent claim California Residency? Yes No
3. Has your parent lived in California continuously since his/her birth? Yes No If No, when did his/her present stay in California begin?
18b. If YOU ARE 19 years OR OLDER by the Residence Determination Date, OR you ARE a foster youth, orphan, or ward of the court, please answer the following questions as they pertain to you:
1. What U.S. state/possession do you regard as your permanent home? _____________________________
2. Do you claim California Residency? Yes No
3. Have you lived in California continuously since birth? Yes No If No, when did your present stay in California begin?
4. Are you a foster youth, orphan, or ward of the court or were you until age 18? Foster Youth Orphan Ward of the Court
19. Place of Birth: City U.S. State/Territory
Country
20. If you currently live in California, but you have lived outside of California in the past, list any places you have lived before your present stay in California began, and the parent/guardian with whom you resided, if any.
Section B
(Personal/Applicant Information)
(Your Social Security Number [SSN] is used internally for Federal
reporting purposes. No public usage of SSN is permitted.) (Optional - For California Residents Only: SSID, if known.)
M M D D Y Y Y Y
Month Day Year
M M D D Y Y Y Y
M M D D Y Y Y Y
Y Y Y Y
Month Day Year
Month Day Year Year
From Date To Date U.S. State/Territory or Country Parent or Guardian
M M D D Y Y Y Y
M M D D Y Y Y Y
Month Day Year
Month Day Year
M M Y Y Y Y M M Y Y Y Y
M M Y Y Y Y M M Y Y Y Y
Section C
(California State Residency Information)
2
Your Name:
_________________________________
Application for
Undergraduate Admission
To conform with the new guidelines of the U.S. Federal Office of Management and Budget (http://www.whitehouse.gov/omb), the California State University must collect from applicants detailed information about their ethnic and racial backgrounds. If you select “Yes” in Question 21a, a response to Question 21b is required. Please do not select more than one response in Question 21b as only ONE response is allowed. If you have selected “No” or “Decline to State,” do not answer Question 21b.
Ethnicity
21a. In regard to your ethnicity, do you consider yourself Hispanic or Latino? Yes No Decline to State
(If “No” or “Decline to State,” please go to Question 22.)
21b. If you indicated Yes on Question 21a (above), please select the ONE category below that best describes your background.
(Do not select more than one.)
Argentinean Panamanian Bolivian Paraguayan Chilean Peruvian
Colombian Puerto Rican
Costa Rican Salvadorian
Cuban Spaniard
Dominican (Republic) Uruguayan
Ecuadorian Venezuelan
Guatemalan Other Central American
Honduran Other South American
Mexican Other Hispanic or Latino _________________________________
Nicaraguan
22. Race
(All undergraduate applicants must respond to Question 22.)
The U.S. Census identifies the following races: White, Black or African American, American Indian or Alaska Native, Asian, and Native Hawaiian or Pacific Islander. These racial categories, as well as many sub-categories, are listed below. Mark one or as many race categories as are appropriate to you. Please mark only one sub-category for each race category that you select. If you select “Decline to State,” then you cannot choose any other boxes.
WHITE
BLACK or AFRICAN AMERICAN
European African American
Middle Easterner Black
North African Haitian
Other White _______________________________ Other African/Black _______________________________
Please specify
Section D
(Demographic Information)
Please specify Please specify (Please select the ONE sub-category that best describes
your background.) (Please select the ONE sub-category that best describes your background.)
3
Your Name:
_________________________________
Application for
Undergraduate Admission
AMERICAN INDIAN or ALASKA NATIVE
(Please select the ONE sub-category that best describes your background.) Achomawi/Achumawi
Cahto (e.g., Cahto Indian Tribe of the Laytonville) Cahuilla (e.g., Agua Caliente Band of Cahuilla Indians)
Chemehuevi (e.g., Chemehuevi Indian Tribe of the Chemehuevi Reservation, California) Chumash (e.g., Santa Ynez Band of Chumash Mission)
Costanoan/Ohlone
Cupeno (e.g., Los Coyotes Band of Cahuilla & Cupeno) Gabrielino/Tongva
Hupa/Hoopa (e.g., Hoopa Valley Tribe, California) Karuk (e.g., Karuk Tribe of California)
Kumeyaay (e.g., Ewiiaapaayp Band of Kumeyaay) Luiseno (e.g., La Jolla Band of Luiseno Mission) Maidu (e.g., Enterprise Rancheria of Maidu Indians) Miwok (e.g., Ione Band of Miwok Indians)
Mojave (e.g., Fort Mojave Indian Tribe of Arizona) Ohlone
Paiute (e.g., Fort Independence Indian Community of Paiute Indians of the Fort) Pomo (e.g., Coyote Valley Band of Pomo Indians)
Quechan (e.g., Quechan Tribe of the Fort Yuma Indians) Serrano (e.g., San Manuel Band of Serrano Mission)
Shoshone (e.g., Paiute-Shoshone Indians of the Bishop Community of the Bishop Colony) Tolowa
Wappo Washoe
Western Mono (e.g., Big Sandy Rancheria of Mono Indians)
Wintun (e.g., Cachil DeHe Band of Wintun Indians of the Colusa Indian Community) Wiyot (e.g., Wiyot Tribe, California/formerly the Table Bluff Reservation - Wiyot Tribe) Yokuts
Yuki
Yurok (e.g., Yurok Tribe of the Yurok Reservation) Latin American Indian
Other American Indian Tribes__________________________________________
Other Alaska Native Tribes __________________________________________
Please specify
Please specify
4
Your Name:
_________________________________
Application for
Undergraduate Admission
ASIAN
(Please select the ONE sub-category that best describes your background.)
Asian Indian Indo Chinese Nepalese
Bangladeshi Indonesian Okinawan
Bhutanese Iwo Jiman Pakistani
Burmese Japanese Singaporean
Cambodian Korean Sri Lankan
Chinese (except Taiwanese) Laotian Taiwanese
Filipino Malaysian Thai
Hmong Maldivian Vietnamese
Other Asian __________________________________________
NATIVE HAWAIIAN or OTHER PACIFIC ISLANDER
(Please select the ONE sub-category that best describes your background.) Carolinian Saipanese
Chuukese Samoan
Fijian Solomon Islander
Guamanian or Chomorro Tahitian
I-Kiribati Tokelauan
Kosraean Tongan
Mariana Islander Yapese
Marshallese Other Melanesian
Native Hawaiian Other Micronesian
Ni-Vanuatu Other Polynesian
Palauan Other Pacific Islander __________________________________________
Papua New Guinean Pohnpeian
DECLINE TO STATE
23. If the California State University is asked to report only ONE summary race/ethnicity description for you, please choose the ONE category below that you want us to report.
(All undergraduate applicants must respond to Question 23. Please check only ONE box.) American Indian or Alaska Native Native Hawaiian or Other Pacific Islander
Asian White
Black or African American Two or more races/ethnicities
Hispanic or Latino Decline to State
Please specify Please specify
5
Your Name:
_________________________________
Application for
Undergraduate Admission
24. Have you ever been on active duty in the U.S. military service? Please enter a “Y” if Yes or “N” if No in box. 25. Are you a dependent of a U.S. active-duty servicemember? Please enter a “Y” if Yes or “N” if No in box.
(Items 26 and 27 are required of applicants seeking admission to Educational Opportunity Program and/or an application fee waiver.) 26. Total Annual Family Income and Family Size (optional). Under federal regulations, you are considered a dependent student if you are
under 24 years unless you are a graduate student, are married or have dependents other than a spouse, are a foster youth, orphan, or ward of the court, or are a veteran or active duty member of the U.S. armed services.
If dependent, estimate parents’ 2013 total annual income and enter in box; and indicate family size including your parents, yourself, and other dependents. If independent, estimate the total annual income for you (and your spouse if married) and enter in box; and indicate your family size including yourself, spouse, and other dependents.
Dependent Students Only: Estimated 2013 Total Annual Family Income (Enter in box.) $ Family Size
Independent Students Only: Estimated 2013 Total Annual Income (Enter in box.) $ Family Size Number of dependent children living with you in 2013.
27. What are your parents’ highest levels of formal education? (optional) Enter code in box for: Mother and Father
1 – No High School 3 – High School Graduate 5 – 2-Year College Graduate 7 – Postgraduate
2 – Some High School 4 – Some College 6 – 4-Year College Graduate
28. What is your degree objective? Enter code in box:
0 – None 2 – BA 3 – BS 4 – Other bachelor’s (BM, BFA, etc.) 9 – Other (specify)
29a. Name of Intended Major _________________________________________________________ Major Code
Emphasis/Concentration (if any) ___________________________________________________________________________________________
29b. Alternative Major (optional) ______________________________________________ Alternative Major Code
30. Total college transferable semester units you will have completed at time entry/re-entry in CSU.
Enter appropriate code in box:
0 – No units completed later than the summer following high school graduation
1 – Fewer than 30 semester units 4 – 90 or more semester units
2 – 30-59.5 semester units 5 – Have bachelor’s degree or equivalent
3 – 60-89.5 semester units (Semester units = Quarter units x 2/3)
Section G
(Degree Objective/Teacher Credential Information)
(Include units in progress and planned)
Section E
(Military Information)
Section F
(Family Education, Income, and Size Information)
6
6
(To find out the application code for your specific major, please go to: www.calstate.edu/degrees)
Your Name:
_________________________________
Application for
Undergraduate Admission
31. Teacher or Other Education Credential Objective (May be in addition to major/program objective) Enter appropriate code in box:
N – Not interested in a credential program
X – Planning to apply to a credential program at a later time Y – Planning to apply to a credential program for this term
Credential Objective Name _________________________________________ Credential Code
(Go to www.calstate.edu/degrees)
32. High School attended
City and State
Graduation Date GED Date
33. Print the names and locations of all colleges and universities attended, even if no course work was completed. Begin with the last in-stitution attended. Attach a separate sheet if you need more space. In units completed, exclude work in progress or planned. For units in progress, see item 34.
34. List below college courses in which you are currently enrolled and courses you plan to complete (including summer school) before entering the CSU. Attach a separate sheet if more space is needed.
Section H
(High School and College Attendance)
Check here if you will neither graduate from high school nor receive a GED.
Total Units in Progress or Planned
All Institutions
Courses in Progress/PlannedA N Y C O L L E G E F A 2 0 1 3 E N G L 1 A C O M P
3
Y Y Y Y
Y Y Y Y
Y Y Y Y
Y Y Y Y
Y Y Y Y
Total Units State CityTerm and Year Unit
Name and Location of Institution (FA/WT/SP/SU) Department Course Number and Title Value *Attach evidence of nonresident status. (e.g., receipt for payment of nonresident tuition)
7
M M Y Y Y Y
M M Y Y Y Y
College/University Name State From
Mo./Yr.
Enrolled To Mo./Yr. Completed
Number of Units Attempted Term Type S/Q Cumulative GPA
Degree Date (MM/YYYY) Fee Status R/NR* Degree Received
Your Name:
_________________________________
Application for
Undergraduate Admission
35. SAT or ACT Scores. If you will not be a college junior at the time of your CSU enrollment, enter test scores and date(s) you will take or have taken the test.
If taken prior to March 2005
ACT Date
SAT Date
If taken March 2005 or later
ACT Date
SAT Date
(CSU campuses will not use the SAT or ACT writing scores for admission purposes.)
36a. Test of English as a Foreign Language (TOEFL)is required of all applicants who have not studied in English-speaking institutions for at least three (3) years.
TOEFL Score Date TOEFL Score Date
36b. International English Language Testing System (IELTS) (Some campuses/programs accept only TOEFL results.)
IELTS Score
.
Date36c. Pearsons Test of English (PTE) (Some campuses/programs accept only TOEFL results.) PTE Score Date
37. Do you wish to apply through the Educational Opportunity Program (EOP)? Yes No
38. If you are currently enrolled in any EOP or EOP&S program, list campus:
_________________________________________________ ____________________________________________________
(Section F, Items 26 and 27, are required of applicants seeking admission to Educational Opportunity Program.)
E M R S Composite
(w/essay)
M M Y Y Y Y
Verbal Mathematics Total
E M R S Composite
Critical Reading Mathematics Total
M M Y Y Y Y
M M Y Y Y Y
M M Y Y Y Y
M M Y Y Y Y
M M Y Y Y Y
(paper form)ACT Writing Score
SAT Writing Score
M M Y Y Y Y
Section I
(Test Information/Requirements)
EOP CSU EOP&S Community College
(iBT/online taken after September 2005)
M M Y Y Y Y
Section J
(EOP Information)
8
Your Name:
_________________________________
Application for
Undergraduate Admission
Section K
(High School Preparation)
[If you are a junior level transfer student, please go to Section L.]
39. High School Preparation (all first-time freshman applicants and all applicants with fewer than 60 transferable semester units): Enter all college preparatory courses in the appropriate section. College prep courses must be on the UC-approved course list. For completed courses, enter the grade earned; if in progress, enter “I” instead of grade. List only courses that can be verified by your final transcript. List college preparatory elective courses in applicable subject area. If you are listing courses taken at a community college or at a high school other than the one you will graduate from, please write its name next to those courses.
Grade
College Preparatory Level
Subjects Taken Title of Course Completed, in Progress, or Planned Fall Spring Summer Semester/Term/Summer Grade
Total English Courses
Total Mathematics Courses LABORATORY SCIENCE –
2 YEARS WITH LABORA-TORY. At least one biological science and one physical science.
MATHEMATICS – 3 YEARS Algebra I, geometry, algebra II, integrated math, and advanced mathematics. Courses taken in 7th and 8th grades may be considered.
Total Visual/Performing Arts Courses
Total College Preparatory Electives ADDITIONAL ELECTIVE
COURSES
Courses not listed above (but are included on UC “a-g” list under “g”). SOCIAL SCIENCE – 2 YEARS One year of U.S. history or U.S. history and American government, and one year of social science.
Total Social Science Courses
Total Laboratory Science Courses
Total Foreign Language Courses ENGLISH – 4 YEARS
Composition and literature designated as college preparatory.
LANGUAGE OTHER THAN ENGLISH – 2 YEARS IN THE SAME LANGUAGE. Subject to waiver for applicants dem-onstrating equivalent compe-tence. College prep language courses taken in 7th and 8th grade may be included.
a. b. c. d. e. f. g.
VISUAL AND PERFORMING ARTS – 1 YEARLONG COURSE. Art, dance, theater/ drama, music. At least one year must be in the same discipline, e.g., music, drama, etc.
9
Your Name:
_________________________________
Application for
Undergraduate Admission
40. High School GPA for all approved college prep “a-g” courses taken in 10th, 11th and 12th grades: GPA
.
GPA = Total Grade Points A=4, B=3, C=2, D=1, F=0
Total Units (Up to a maximum of 8 extra points for UC-approved honors courses taken in the last two years of high school including up to 2 honors courses taken in the 10th grade.)
41. GPA for all transferable undergraduate college work:
.
42. Are you eligible to re-enroll at all institutions previously attended? Yes No If “No,” attach an explanation and name any institution that you are ineligible to re-enter. 43. Do you have an RN (registered nurse) license? Yes No
(If you are currently studying for and expect to earn the RN before enrolling at CSU, please answer “Yes” to this questions and list your license number as “0”.) If yes and a registered nurse, please provide RN License Number __________________________
For California Community College Students Only
44. The Student Transfer Achievement Reform Act (SB 1440) enabled the California Community Colleges and California State University to collaborate on the creation of Associate in Arts for Transfer (AA-T) degree and Associate in Science for Transfer (AS-T) degree programs. If you are currently completing or have already earned an AA-T or AS-T degree at a California Community College, please complete the following section:
Which degree program are you pursuing at your California Community College? ________________________________________ What is your major for this AA-T or AS-T degree? _______________________________
From which California Community College will you receive this AA-T or AS-T degree?
45. Have you participated in a transfer guarantee or dual admission program involving your community college and a CSU? Yes No
Which Community College? ____________________________________________________________________________
Which CSU Campus? __________________________________________________________________________________
Which Major? ________________________________________________________________________________________
46. For Transfers(Please list courses completed or in progress that meet the CSU General Education requirements in Oral Communica-tion, Written CommunicaCommunica-tion, Critical Thinking, and Mathematics/Quantitative Reasoning. California Community Colleges usually designate General Education requirements as A1 Oral Communication, A2 Written Communication, A3 Critical Thinking, and B4 Mathematics/Quantitative Reasoning or IGETC 1a, 1b, 1c, and 2. This self-reported information will be verified. Failure to complete GE coursework with minimum C grades will jeopardize offers of admission.)
COURSE WORK OTHER THAN “A-G” If applicable, please list courses other than “a-g” courses that demonstrate a particular focus or interest of yours (i.e., career-techni-cal education courses or language immersion courses).
Section L
(Transfer Information)
[Applicants for Transfer Admission]Start Date of End Date of Anticipated or Completed Total Number of Semester
California Community College Attendance Attendance Degree Date Units Completed or Quarter
MM Y Y Y Y A N Y C O L L E G E C A L I F O R N I A
MM Y Y Y Y
00
Y Y Y Y
Y Y Y Y
Y Y Y Y
Y Y Y Y
Department CourseSubjects Institution Term (FA/WT/SP/SU) Number and Title Unit Oral Communication
Written Communication Critical Thinking
Math/Quantitative Reasoning
* If in progress or planned, enter “I”.
Gr
ade
*
10
MM Y Y Y Y
Your Name:
_________________________________
Application for
Undergraduate Admission
47. Have you earned college credits through the programs listed below? If so, please mark the appropriate box(es) and make sure to send official documentation to the campus(es) office of admission.
Advanced Placement (AP) International Baccalaureate (IB) College Level Examination Program (CLEP) Air Force Credit Army Credit Coast Guard Credit
Marines Credit National Guard Credit Navy Credit
48. Subject to application and availability--If you plan to live in Campus housing, enter a Y in box.
49. Do you have the interest and ability to participate in NCAA-sanctioned intercollegiate athletics competition? Yes No _________________________________
Section M
(Miscellaneous Information)
[If you answered “yes,” please contact the campus Department of Athletics to register your interest in a sport(s).]
(optional) Sport
11
Your Name:
_________________________________
Application for
Undergraduate Admission
50. CERTIFICATION — to be read and signed by all applicants to certify the accuracy of the information provided.
I certify under penalty of perjury under the laws of the State of California that I have provided complete and accurate responses to all the items on this application. I further certify that all official documents submitted in support of this application are authentic and unaltered records that pertain to me. I authorize the California State University to release any information submitted by me in this application for admission and any application for financial aid to any person, firm, corporation, association, or government agency to verify or explain the information I have provided or to obtain other information necessary for my application for admis-sion and any application for administration of financial aid and in connection with any perjury proceedings. My signature certifies the accuracy and completeness of the information provided. I understand that any misrepresentation or omission may be cause for denial or cancellation of admission, transfer credit, or enrollment. I certify that so long as I am a student at this institution, I will advise the residence clerk if there is a change in any of the facts affecting my residence.
Signed at
When claiming California residence and completing this form outside California, it must be subscribed and sworn to before a person authorized to administer oaths, such as a notary public.
Tuition Fee Refund Policy — Tuition Fees may be refunded only as authorized by Section 41802 of Title 5, California Code of Regulations. Details concerning the fees that may be refunded, the circumstances under which they may be refunded, and the appropriate procedure to be followed in seeking a refund may be obtained from the office of admission and records on each campus.
Use of the Social Security Number— You are required to include your Social Security Number (or taxpayer identification number) on admission application forms to all CSU campuses pursuant to Section 41201, Title 5, California Code of Regulations. CSU campuses use the Social Security Number to identify your student records maintained in connection with your association with the campus and, if needed, to help collect debts owed the university. Your Social Security Number may be written on your application fee check to facilitate the processing of your fee payment. Also, the Internal Revenue Service requires the university to file information that includes the student’s Social Security Number and other information, such as the amount paid for qualified tuition, related expenses, and interest on educational loans. That information is used to help determine whether you, or a person claiming you as a dependent, may take a credit or deduction to reduce federal income taxes.
If you do not have a Social Security Number at the time you file the application, you may leave the item blank and the campus will assign a temporary number. However, you should obtain a Social Security Number, unless you are prohibited by law from doing so, and submit it to the university by the time you begin enrollment. Failure to furnish your correct Social Security Number may result in the imposition of a penalty by the Internal Revenue Service.
City and County Applicant’s Signature Date
FOR OFFICE USE ONLY:
Received Date
Fee Status By_________________ Data Entry By_________________ Previous
Student File Number
Section N (Certification)
12
1
California State University, Bakersfield • Q9001 Stockdale Highway, Bakersfield, CA 93311-1099 (661) 654-3036 • www.csub.edu
2
California State University, Channel Islands • SOne University Drive, Camarillo, CA 93012 (805) 437-8500 • www.csuci.edu
3
California State University, Chico • S400 W. First Street, Chico, CA 95929-0722 (530) 898-6321 • www.csuchico.edu
4
California State University, Dominguez Hills • S1000 East Victoria Street, Carson, CA 90747 (310) 243-3696 • www.csudh.edu
5
California State University, East Bay • Q25800 Carlos Bee Blvd., Hayward, CA 94542-3035 (510) 885-2784 • www.csueastbay.edu
6
California State University, Fresno • S5150 North Maple Avenue, JA57 Fresno, CA 93740-8026
(559) 278-2261 • www.fresnostate.edu
7
California State University, Fullerton • S800 N. State College Blvd., Fullerton, CA 92834-9480 (657) 278-2300 • www.fullerton.edu
8
Humboldt State University • S1 Harpst Street, Arcata, CA 95521-4957
(707) 826-4402 • (866) 850-9556 • www.humboldt.edu
A world of information is just a click away
.
Visit the California State University website at www.calstate.edu to find out all relevant information about the 23 CSU campuses. The phone numbers listed are the main contact information for the campus office of admission.
S - Semester system Q - Quarter system
9
California State University, Long Beach • S1250 Bellflower Blvd., Long Beach, CA 90840-0106 (562) 985-5471 • www.csulb.edu
10
California State University, Los Angeles • Q5151 State University Drive, Los Angeles, CA 90032-8530 (323) 343-3901 • www.calstatela.edu
11
California Maritime Academy • S200 Maritime Academy Drive, Vallejo, CA 94590 (707) 654-1330 • www.csum.edu
12
California State University, Monterey Bay • S100 Campus Center Drive, Seaside, CA 93955-8001 (831) 582-3738 • www.csumb.edu
13
California State University, Northridge • S18111 Nordhoff Street, Northridge, CA 91330-8207 (818) 677-3700 • www.csun.edu
14
California State Polytechnic University, Pomona • Q3801 West Temple Avenue, Pomona, CA 91768-4003 (909) 869-5299 • www.csupomona.edu
15
California State University, Sacramento • S6000 J Street, Sacramento, CA 95819-6048 (916) 278-7766 • www.csus.edu
16
California State University, San Bernardino • Q5500 University Parkway, San Bernardino, CA 92407-2397 (909) 537-5188 • www.csusb.edu
17
San Diego State University • S5500 Campanile Drive, San Diego, CA 92182-7455 (619) 594-6336 • www.sdsu.edu
18
San Francisco State University • S1600 Holloway Avenue, San Francisco, CA 94132-1722 (415) 338-1113 • www.sfsu.edu
19
San José State University • SOne Washington Square, San José, CA 95192-0016 (408) 283-7500 • www.sjsu.edu
20
California Polytechnic State University, San Luis Obispo • QSan Luis Obispo, CA 93407
(805) 756-2311 • www.calpoly.edu
21
California State University, San Marcos • S333 S. Twin Oaks Valley Road San Marcos, CA 92096-0001 (760) 750-4848 • www.csusm.edu
22
Sonoma State University • S1801 East Cotati Avenue, Rohnert Park, CA 94928 (707) 664-2778 • www.sonoma.edu
23
California State University, Stanislaus • SOne University Circle, Turlock, CA 95382 (209) 667-3070 • www.csustan.edu
401 Golden Shore Long Beach, CA 90802-4210
