The Pod Xperience

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I am registering as a:

Applicant/Admitted CSUCI student

Prospective CSUCI student

Parent/guardian of prospective CSUCI student

Your Information

Relationship to Your Student

First Name

Last Name

Email Address

Mobile Phone

Would you like to receive text reminders and updates about this visit?

Yes

No

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?

Yes

No

By opting in, you agree to receive occasional messages from CSU Channel Islands about degree programs, scholarship opportunities, events, and admission. You may opt out anytime by responding with the word STOP. Message and data rates may apply.

Would you like to receive text reminders and updates about this visit?

Yes

No

Student Details

Current Grade Level

Which student type do you intend to apply as at Cal State Channel Islands?

Intended Entry Term

Primary Academic Interest

Secondary Academic Interest

School Information

Current/Most Recent High School

High School Graduation Year

Current/Most Recent College or University

Degree Type

Other Degree Type

Major/Program

Visit Details

Will any guests join you for your visit?

Yes

No

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

Yes

No

Number of Guests 14 or older

Number of Guests 13 or younger

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

Additional Details for Visit

I have dietary restrictions.

I have accessibility needs for my visit.

Please specify dietary restrictions:

Accessibility Accommodations
The University encourages people with disabilities to participate in its programs, events and activities. If you anticipate needing any type of accommodation or have questions about the physical access provided, please contact the respective area below as soon as possible, but no later than seven business days prior to the event/activity:

CSUCI Students: accommodations@csuci.edu

CSUCI Employees and Members of the Public: angela.portillo@csuci.edu

By opting in and providing my information, I agree that Cal State Channel Islands may contact me via email, direct mail, and digital platforms to provide information about degree programs, scholarship & 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 contacting Cal State Channel Islands.

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

By opting in and providing my information, I agree that Cal Channel Islands may contact both my student and me via email, direct mail, and digital platforms to provide information about degree programs, scholarship & 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 contacting 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.