Dolphin Open House

I am registering as a:

Prospective CSUCI student

Parent/guardian of prospective CSUCI student

Other Individual/Community Member

Your Contact Information

First Name

Last Name

Email Address

Mobile Phone

Would you like to receive text reminders and updates about this visit?
California State University-Channel Islands (CSUCI) utilizes text messaging to send out important notifications and updates about opportunities from CSUCI. Message frequency may vary. Message and data rates may apply. You can text STOP to opt out at any time. Text HELP for assistance. For more information visit our privacy policy.

Yes

Your Information

Relationship to Your Student

First Name

Last Name

Email Address

Mobile Phone

Yes

Which of the following best describes your current ties to CSUCI?

Other Ties

Please provide information for your student in the Student Information and Student Details sections below.

Student Information

First Name

Preferred Name

Last Name

Birthdate

Email Address

Mobile Phone

Would you like to receive CSUCI updates via text message?
California State University-Channel Islands (CSUCI) utilizes text messaging to send out important notifications and updates about opportunities from CSUCI. Message frequency may vary. Message and data rates may apply. You can text STOP to opt out at any time. Text HELP for assistance. For more information visit our privacy policy.

Yes

Would you like to receive text reminders and updates about this event?
California State University-Channel Islands (CSUCI) utilizes text messaging to send out important notifications and updates about opportunities from CSUCI. Message frequency may vary. Message and data rates may apply. You can text STOP to opt out at any time. Text HELP for assistance. For more information visit our privacy policy.

Yes

Student Details

Student Type

Intended Entry Term

Primary Academic Interest

Secondary Academic Interest

School Information

High School Graduation Year

Current/Most Recent High School

Current/Most Recent College or University

Degree Type

Other Degree Type

Major/Program

Visit Details

Will any guests join you for your visit?

Yes

Will any guests, including yourself, join your student for this visit?

Yes

Number of Guests

Please provide an email address for any other individuals you would like to include in communications for this event.

Additional Details for Visit

I/my family will be participating in the Spanish Track of the program

I have accessibility needs for my visit.

By opting in and providing my information, I agree that California State University-Channel Islands (CSUCI) mat contact me via email, direct mail, text messages, and digital platforms to provide information about degree programs, scholarships & financial aid opportunities, events, and admission. I understand that I can unsubscribe anytime by selecting the Unsubscribe link at the bottom of any email or by contact Cal State Channel Islands. Message frequency may vary. Text Message and data rates may apply. For texts: you can text STOP to opt out at any time. Text HELP for assistance. For more information visit our privacy policy.

I acknowledge that by submitting this form, my data is available to Cal State Channel Islands.

I acknowledge that by submitting this form, my data and my student's data are available to Cal State Channel Islands.