Admissions and Records

  • A student working in a lab.

Current Student Forms V3

The student forms below are listed in alphabetical order. Search by key word to find a form quickly.  To jump to the Late Add-Drop forms, select Change in Academic Schedule for Undergraduate Students.  

How to File a Form:

  1. Download and save fillable forms to your device. Your data will not be saved if you complete the form in your web browser!
  2. Open the PDF file with either of these applications:
  3. Sign and date your form if required:
    • "Wet" signature: Print, sign and date the form. Then scan it to PDF.
    • If the form has a fillable student signature field, type your name and date and save the form. Close and reopen the saved file to ensure your changes are still there.
  4. Email the saved form to the reviewer/approver as an attachment from your CSUN Gmail account.
  5. Save a copy of your email and the completed form for your records.
  6. Always email forms from your CSUN Gmail account to request signatures (if required) and to submit the form (see table column 3 below).
Note: For your safety, avoid entering personal information on public computers and/or wireless access points.

STUDENT FORMS

FORM NAMEDESCRIPTIONHOW TO FILE
AB540-CA Nonresident Tuition Exemption (.pdf)This exemption is available to certain nonresident students who meet a specific set of requirements. Please review the AB 540 exemption instructions (.pdf) and include a completed CSU Residence Questionnaire (.pdf) along with your exemption request/affidavit. File completed forms with Admissions and Records (see next column). Helpful: California Residency for CSU Tuition PurposesDownload, save and complete this form. Then print, sign and date it. Mail the paper form to Residency Forms, or email it from your CSUN Gmail address to admissions.residency@csun.edu.
Address Correction or ChangeTo update your address, emergency contact information, and more in myNorthridge Portal, see the guide Update Personal Information. Alternatively, you may contact us to request a form. Update in myNorthridge Portal.
Affidavit of Financial Support (.pdf)International Students: Our affidavit form is required from all F-1 (student visa) and J-1 (exchange visa) applicants.Download, save and complete this form. Then print, sign and date it. Mail the paper form to International Admissions, or email it from your CSUN Gmail address to intladm@csun.edu.
Change Catalog Year (.pdf)Currently enrolled undergraduate students - Currently enrolled students may change their major/minor catalog year with departmental approval. Refer to Catalog Requirements (Catalog Rights) policy. Approval required. Download, save and complete this form. Then email it to your academic advisor.
Confidentiality Hold on Student Records (online)To request that a confidentiality hold be placed on, or removed from, your student records in myNorthridge Portal, see the guide Update Personal Information. Alternatively, you may contact us to request a form. Update in myNorthridge Portal.
Course Description Request 
(Web form)
Former and current CSUN students, or a representative of a college or university to which a CSUN student has applied, may use this form to request a course description that does not appear in the CSUN Catalog Archives.Complete the Web form.
Cross Enrollment (.pdf)Undergraduate students enrolled at one of the California State University campuses may enroll at one of the University of California campuses or a California Community College on a space available basis. (Specific policies and procedures for eligibility are explained on page 2 of the form.)Print, complete, sign and date this form. Mail the paper form to Admissions & Records.
Diploma Duplicate (.pdf)Use this form to request a duplicate bachelor's degree diploma ($8 processing fee; make check payable to "CSUN").

To request a duplicate master's or doctorate diploma, see Graduate Studies Forms.
Download, save and complete this form. Then print, sign and date it. Mail the paper form with your check to Undergraduate Degree Services.
Diploma Name Change Request (.pdf)Use this form to request a change to your bachelor’s degree “Diploma Name.” If the name that appears on your University record is the same as the name you would like on your diploma, you do not need to submit this form.Download, save and complete this form. Then print, sign and date it. Mail the paper form to Undergraduate Degree Services, or email it from your CSUN Gmail address to uds@csun.edu.
Disqualified Readmission Questionnaire (.pdf)Previously disqualified undergraduate and second bachelor's students: To be considered for readmission to CSUN, submit this questionnaire along with transcripts of any courses completed and in-progress at another college or university for review by the CSUN major department and the Office of Undergraduate Studies. For Fall 2020 admission, file no later than April 1, 2020. 

Helpful: Previously Disqualified Returning Student
Print and complete this form. Then mail it with any attachments to Admissions & Records, or email it from your CSUN Gmail address to admissions.transfer@csun.edu.
DPR Review Request (Web form)
Undergraduate students: If you have specific questions regarding your Degree Progress Report (DPR) and you have NOT received a Graduation Evaluation, you may submit a DPR review request. You may also use this form to request a “what if” DPR of requirements under General Education Plan E. A response will be sent to your CSUN email address.Complete the Web form.
Extra Unit Authorization for Undergraduate Students (Web form)Undergraduate and second bachelor's degree students: Request approval for extra units above the maximum unit load for the current spring, fall or summer registration periods. Approved forms will be processed when Nonrestrictive Registration begins. Please see instructions on the Web form. 

Graduate and credential students: Find the "Extra Unit Authorization" form and instructions at Graduate Studies Forms.
Complete the Web form.
Graduate Student Forms PageGraduate students: Visit the Office of Graduate Studies website to view graduate student forms.See Graduate Student Forms.
Graduation Application for Bachelor's Degree (.pdf)

Undergraduate students planning to graduate within one year should apply online. Helpful: Online Graduation Application Guide

Print and complete this paper application only if you are a Liberal Studies major, Second Bachelor’s Degree candidate, a discontinued student, or unable to submit an application through myNorthridge Portal. A $47 processing fee is required at the time of application whether online or on paper (an additional $10 late fee will be assessed after the application deadlines).

The paper application can be mailed into the Admissions & Records address indicated on the form, along with a check made out to CSUN for the appropriate fee.

Helpful: Apply to Graduate

Download, save and complete this form. Then print, sign and date it. Mail the paper form with the check to Undergraduate Degree Services.
Graduation Date Change for Bachelor's Degree (.pdf)Undergraduate students who have already applied for graduation may change their date by submitting this form. The $8.00 processing fee is temporarily waived until further notice. Approval required. Download, save and complete this form. Then print, sign and date it. Mail the paper form to Undergraduate Degree Services, or email it from your CSUN Gmail address to uds@csun.edu.
Incomplete Request (.pdf)Students requesting a grade of Incomplete ("I") should use this form. An "I" may be assigned when a portion of the required course work has not been completed and evaluated in the prescribed time period due to unforeseen, but fully justified, reasons and that there is still a possibility of earning credit.Approval required. Download, save and complete this form. Then email the form from your CSUN Gmail address to the instructor.
Incomplete Request for Time Extension (.pdf)Students requesting a time extension to complete work for a course in which they have received a grade of incomplete ("I") should submit this form PRIOR to the end of the calendar year which follows the original assignment of the "I" grade.Approval required. Download, save and complete this form. Then email the form from your CSUN Gmail address to the instructor.

Intrasystem Concurrent or Visitor Enrollment (.pdf)

Students enrolled at any CSU campus may use this form to enroll at another CSU campus in one of the following Intrasystem Programs:
  • Concurrent Enrollment: Request approval to attend two CSUs concurrently in the same semester.
  • Visitor Enrollment: Request approval to attend a CSU other than your home campus for one semester.
For either Intrasystem Program, complete this form, review the instructions carefully, and submit it to your home campus.
Download, save and complete this form. Then print, sign and date it. Mail the paper form Part I, page 1, to Admissions & Records.
Letter Request (.pdf)Admissions and Records may accommodate a request for a letter when students have a special need that is not met by a standard university document.Download, save and complete this form. Then print, sign and date it. Mail the paper form to Admissions & Records, or email it from your CSUN Gmail address to admissions.records@csun.edu.
Major (Plan) Change or Declaration (.pdf)Currently enrolled undergraduate students may change their major (plan) with departmental approval using this form or by filing an online request (see the guide Change Major/Minor Online). Important! Consult with an advisor to determine how the change could affect the completion of degree requirements. Before you request a change online, ask your advisor if pre-advising is mandatory to evaluate your request.Approval required. Request in myNorthridge Portal, or download, save and complete this form. Then print, sign and date it. Email the form to your academic advisor from your CSUN Gmail address.
Minor (Plan) Change or Declaration (.pdf)Currently enrolled undergraduate students may change their minor with departmental approval using this form or by filing an online request (see the guide Change Major/Minor Online). Important! Consult with an advisor to determine how the change could affect the completion of degree requirements. Before you request a change online, ask your advisor if pre-advising is mandatory to evaluate your request.Approval required. Request in myNorthridge Portal, or download, save and complete this form. Then print, sign and date it. Email the form to your academic advisor from your CSUN Gmail address.
Name Change, LEGAL (.pdf)Complete this form and submit with a photocopy of a valid photo ID (e.g., driver's license, state ID card, passport) showing your new name. NOTE: If you have applied for graduation, your last name and first name on your diploma must be the same as your current name on record.Download, save and complete this form. Then print, sign and date it. Mail the paper form and attachments to Admissions & Records, or email them from your CSUN Gmail address to admissions.records@csun.edu.
Name Change, PREFERRED (.pdf)Use this form to request a “preferred first name” change that will display on class and grade rosters and in the campus directory. All documents and/or records such as official transcripts, diplomas, etc., will reflect the student’s legal name, not the preferred name.Download, save and complete this form. Then print, sign and date it. Mail the paper form to Admissions & Records, or email it from your CSUN Gmail address to admissions.records@csun.edu.
Personal Information Change (.pdf)Use this form to correct Social Security Number, date of birth or other demographic information. Submit completed form and attachments (if any) to Admissions and Records. Please see instructions on form.Print and complete this form. Then mail it with any attachments to Admissions & Records
Petition - Undergraduate (.pdf)

Students seeking to petition the use of undergraduate coursework for postgraduate credential credit or to request Academic Renewal may use this form. The $10.00 processing fee is temporarily waived until further notice. 

Please refer to the instructions on page 2 of the form for university policy and procedures. For GE or other modifications, please submit a DPR Review Request.

Download, save and complete this form. Then print, sign and date it. Mail the paper form to Admissions & Records, or email it from your CSUN Gmail address to admissions.records@csun.edu
Record Review Request (.pdf)If you feel that an error was made on a Change of Program Form or in your academic records, complete this form and submit to Admissions and Records.Download, save and complete this form. Then print, sign and date it. Mail the paper form to Admissions & Records, or email it from your CSUN Gmail address to admissions.records@csun.edu.
Repeat Approval Request (Web Form)Undergraduate students must use this form to request the approval of their Associate Dean to enroll in a class for the third time (i.e., repeat the class a second time).Complete Web form.
Residence Questionnaire (.pdf)For CSU tuition purposes (pursuant to Ed. Code Section 68041), CSUN applicants and continuing CSUN students may complete the CSU Residence Questionnaire to (1) ensure proper determination of their residency status and/or (2) request a reclassification of their California residency status. File completed forms with Admissions & Records, CSUN. Helpful: California Residency for CSU Tuition PurposesDownload, save and complete this form. Then print, sign and date it. Mail the paper form with attachments to Residency Forms, or email them from your CSUN Gmail address to admissions.residency@csun.edu 
Time Conflict Enrollment Petition (.pdf)If there are extenuating circumstances that would warrant an exception to the campus policy on Simultaneous Enrollment (see University Catalog), complete this form.Approval required. Download, save and complete this form. Then print and email it from your CSUN Gmail address to the instructor.
Transcript Request (Order online) 

Transcript Request (.pdf)

Official transcripts of courses taken at CSUN are issued only with the written request of the student. Facsimile transmissions are not accepted. You can order transcripts online (additional fees apply), by mail or in person. See How To Obtain a Transcript

Fees are based on the number of transcripts ordered at one time. Make check payable to "CSUN."

Download, save and complete this form. Then print, sign and date it. Mail the form with your check to Admissions & Records.
Transfer GE Request (web form)

Currently enrolled CSUN undergraduate students who want to transfer General Education (GE) courses to CSUN: 

  • Use ASSIST to check whether or not GE courses taken at California community colleges will transfer to CSUN to meet an outstanding GE requirement.
  • If unsure about ASSIST information or to request GE information for a school not in ASSIST, complete this "Transfer GE Request."
  • Do not use this form to inquire about transferring courses for your major. Instead, use ASSIST or contact your major department advisor.
Read more at Transfer Course Information.
Complete the Web form. 
UDWPE Appeal for Extension (web form)

New and continuing undergraduate students who will have completed 75 units at the end of the current fall or spring semester, but who have not yet attempted the Upper Division Writing Proficiency Exam (UDWPE), will have a registration hold for the next semester of enrollment. To remove the hold, you must file an appeal using this web form.

NOTE: The UDWPE is temporarily suspended to adhere to California Gov. Newsom’s social distancing guidelines. Please see the “UDWPE Suspended” notice on the CSUN Testing Center website (3/13/20).

Complete the Web form. 
Veterans Students: CSUN Local Certification Request for Veterans Benefits (.pdf)

Veterans Students: Please request CSUN local certification for VA education benefits online through the “For Veterans” box in myNorthridge Portal. If online is not possible, please contact CSUN Veterans Affairs.

Request certification through myNorthridge Portal (preferred), or email the form to veteransmail@csun.edu.

Veterans Students: VA Form 22-1995 (.pdf)Veterans Students: Request for Change of Program or Place of Training. Please see instructions and additional information on form. Upload the completed form online through the “For Veterans” box in myNorthridge Portal. If online is not possible, please contact CSUN Veterans Affairs. Upload in myNorthridge Portal (preferred), or email the form to veteransmail@csun.edu.
WUE Contract (.pdf)Use this contract form to apply for Western Undergraduate Exchange (WUE) fee status. For eligibility requirements and other information, visit the California State University, Northridge WUE website.Download, save and complete this form. Then print, sign and date it. Email the form from your CSUN Gmail address to todd.wolfe@csun.edu.
Late Add-Drop Forms: Change in Academic Schedule for Undergraduates
4th Week Change of Schedule Request for Undergraduate Students (.pdf)All undergraduate and second bachelor's students requesting schedule adjustments in Week 4 of the fall or spring semesters should use this form. This form will NOT be accepted BEFORE or AFTER the 4th week of classes. Also use this form for partial or complete medical withdrawals in Week 4. See Adjusting Your Schedule for deadlines.To Be Announced (TBA)
Summer 2020 Late and Retroactive Change in Schedule for Undergraduate and Second Bachelor’s Students (.pdf)

NEW!  All undergraduate and second bachelor’s students requesting schedule adjustments for the Summer 2020 term or previous fall/spring semesters or summer/winter terms should use this form.

For partial or complete medical withdrawal, submit this form together with the “Medical Withdrawal: Student Consent and Health Care Provider Guidelines” form (see below, last row).

INSTRUCTIONS:

  1. Download and save this fillable PDF form to your device. Rename the file if you want or if prompted.
  2. Open the PDF file with either of these applications:
    Adobe Reader™, available for free at CSUN IT Document Viewers, or
    Adobe Acrobat Pro™, available for free at Adobe Creative Cloud for Students.
  3. Fill out the form on your device. Type your name in the Student Signature field and the date.
  4. Save your completed form. If you are prompted to rename the file to save it, do that. Then reopen the saved file to make sure your changes are still there.
  5. Email the saved form as an attachment from your CSUN Gmail account to Undergraduate Studies at ugs@csun.edu to request approval.
  6. Save a copy of your completed form and email for your records.
Note: Avoid entering personal information on public computers and/or wireless access points.

See instructions to left.

If you prefer, print and complete this form. Then "wet" sign and date it. Scan the form to PDF and email it as an attachment from your CSUN Gmail address to Undergraduate Studies at ugs@csun.edu.

Late Change in Academic Schedule - Undergraduate and Second Bachelor's Students Only (.pdf)

This form is TEMPORARILY SUSPENDED.

Please use the "Summer 2020 Late and Retroactive Change in Schedule for Undergraduate and Second Bachelor's Students" just above.

All undergraduate and second bachelor's students requesting schedule adjustments during Weeks 5-12 of the fall or spring semesters should use this form. Extraordinary circumstances ONLY will be considered. For partial or complete medical withdrawal, submit this form together with the "Medical Withdrawal: Student Consent and Health Care Provider Guidelines."

Temporarily suspended.
Last 20% of Instruction and Retroactive Change in Schedule for Undergraduate Students (.pdf)

This form is TEMPORARILY SUSPENDED.

Please use the "Summer 2020 Late and Retroactive Change in Schedule for Undergraduate and Second Bachelor's Students" 2 rows above.

All undergraduate and second bachelor's students requesting schedule adjustments during Weeks 13+ of the fall and spring semesters and thereafter (i.e., retroactive changes) should use this form. Extraordinary circumstances ONLY will be considered. For partial or complete medical withdrawal,submit this form together with the "Medical Withdrawal: Student Consent and Health Care Provider Guidelines."

Temporarily suspended.
Medical Withdrawal: Student Consent and Health Care Provider Guidelines (.pdf)

All undergraduate and second bachelor's students requesting a partial or complete medical withdrawal after Week 4 must complete this form and submit it together with the Summer 2020 Late and Retroactive Change in Schedule for Undergraduate and Second Bachelor’s Students (.pdf).*

The "Medical Withdrawal" form acts as the student's signed authorization to disclose health-related information to necessary areas on campus and provides specific guidelines for the health care provider to verify the student's condition.

*Note: The "Late Change in Academic Schedule" form for Weeks 5-12 and the "Last 20% of Instruction and Retroactive Change" form for Weeks 13 and beyond have been temporarily suspended. 

INSTRUCTIONS:

  1. Download and save this fillable form to your device. Open the PDF file with either Adobe Acrobat Pro™, available for free at Adobe Creative Cloud for Students, or Adobe Reader™, available at CSUN IT Document Viewers.
  2. Type your name in the Student Signature line and the date. Or, you can print, "wet" sign/date it, and scan it. Please ask your healthcare provider what they prefer.
  3. Collect all items—Spring 2020 Late and Retroactive Change form above, this Partial Medical Withdrawal Student Consent form and your healthcare provider's letterand scan if necessary. Then email all items from your CSUN Gmail account to Undergraduate Studies at ugs@csun.edu.
Note: Avoid entering personal information on public computers and/or wireless access points.
See instructions to left.