request

Request Information
Name:
Date:
Address:
City:                State:             Zip:

Phone:                                      EMAIL:

Current School:                                        GPA:
Info: Fall___    Winter___   Spring___   Summer___
Year:

Application:         Undergraduate___ Graduate___
Fee Waiver___ Financial Aid___    Scholarships___
Honors Programs___    Housing___
Educational Opportunity Program___
Other: Major(s) of Interest:
_________________________________________________________
You can "cut & paste" this for email or to print out. Send
request to: outreach@csub.edu