Environmental Leadership Academy
Application Form

Please fill out the application form for the Class of 2015.


As a member of the ELA Certificate program your directory information may be shared with your classmates. "ELA Directory" information includes your name and email. 

FERPA allows universities to release specific types of information without student consent. This is referred to as “Directory information”.  All students have the right to request their directory information be withheld and should contact the Extended Learning Student Services office to arrange for this at 760.750.4020. The Authorization to Withhold Directory Info form is located at http://www.csusm.edu/enroll/allforms/index.html

In order to release other information you will be asked to complete a Permission to Release Education Record Information form.  http://www.csusm.edu/enroll/allforms/permission_release_education_info_form.pdf 

Fill out my online form.