Former Student Information Form

Only students who have NOT attended CSUSM for MORE than one semester should complete this form.  If you have only been out for one semester, please schedule an appointment with an academic advisor. 

Please enter the following information. An advisor will respond to your request within 30 business days.

*
*


Other name(s) used while in attendance at CSUSM (i.e. maiden name)



*
*
*
Have you attended another college or university since you last attended CSUSM?

*
If so, please list here:


By checking this box, I am confirming that I have applied to graduate from CSUSM in the past.

*
Yes

By checking this box, I give CSUSM permission to review my records:

*
Signature Authority

Loading reCAPTCHA...
Submit