Credit Registration Form
Personal Information
First Name
Middle Name
Last Name
Non-CSU Email Address
CSU Email Address
Phone
Birth Date (Month/Day/Year)
Date of birth is required to verify the student record.
Course Information
Where do I find this course information?
On the course page of the CSU Online Website
.
Term
Course Information
Course Number (e.g., PSY 100)
Course Name (e.g., General Psychology)
Course Credits (e.g., 3)
Section Number (e.g., 801)
Do you have a CSU ID Number?
Yes
No
Enter your CSU ID Number
Mailing Address
City/Providence
State or Country
Zip Code
Gender
Female
Male
Non-binary Gender Identity
Do not wish to disclose
Shipping Address (if different from Mailing Address)
Race
Please select...
American Indian or Alaska Native
Asian, Japanese, Chinese, Vietnamese, Korean, or Filipino
Black or African American
Native Hawaiian or Other Pacific Islander
White, Anglo, Caucasian
Ethnicity
Please select...
Hispanic/Latino, Chicano, Cuban, Puerto Rican, Mexican American
Not Hispanic/Latino
Do you have approval from the instructor to register late, override course capacity, or pre-requisites?
Yes
No
Not Applicable (Already received advisor approval)
Upload a document/copy of the approval from the instructor