Registration Form - CSU Summer Arts 2017

Complete Each Section on the entire form. The personal information requested is for statistical purposes only, and will not affect your acceptance into the program. Incomplete responses will delay the processing of your registration.

Portfolio Submission

Add Course Application Materials (Resume, Letters of Interest, etc.)

*Files over 4MB should be mailed to jsharp@calstate.edu

Document List - 0 Documents

Sample of Work Provide a URL where your work can be viewed.


Personal Information

*Last Name

 

* Date of Birth

 
 

* Social Security Number (no dashes)

 

* First Name, Middle Initial

 

* Gender

 

* Street

 

Apt Number

* City

 

* State

 

* Zip

 

* Country

 

* Phone Number

 

* Email

 

* Re-Enter Email

 

Academic Information

* High School Graduation Year (If currently enrolled in high school, enter the year you will graduate)

 

* Are you currently a CSU Student?

 

* Current or Last school attended* CSU Campus attended

* Most Recent Year Enrolled

 

* Current Class Level

 

* Major (If none, write undeclared)

 

* Degree Held

 

Name of Institution where you received your BACHELOR'S DEGREE

Year

Degree Objective

Course(s) for which you are applying

Course Title

Course Number

Units

Materials Fee

Ethnic Identity

Ethnic Identity

* Country of Citizenship

 

* Citizenship Code

Type of Visa

Date Issued

Permanent/State Residence

*Are you a foster youth, orphan, or ward of the court, or were until age 18?

 

* Will you be 19 by June 1, 2017?

 

If YOU ARE younger than 19 years by June 1,  2017  AND you ARE NOT a foster youth, or a ward of the court, please answer the following questions as they pertain to the parent with whom recently resided:

* What U.S. state/possession does your parent regard as his/her permanent home?

 

* Does your parent claim California residency?

  

c. Has your parent lived in California continuously since his/her birth?

 

If No, when did his/her present stay in California begin?

   

If YOU ARE 19 years or older by June 1,  2017  OR you ARE a foster youth, orphan, or a ward of the court, please answer the following questions as they pertain to you:

* What U.S. state/possession do you regard as permanent home?

 

* Do you claim California Residency?

 

Have you lived in California continuously since birth?

 

If No, when did your present stay in California begin?

   

Place of Birth

* City

 

U.S. State/territory

 

* Country

 
If you currently live in California, but you have lived outside California in the past, list any places you lived before your present stay in California began, and the parent/guardian with whom you reside, if any.
From Date
To Date
U.S. State/Territory or Country
Parent or Guardian
 
 
 
 

How did you find out about Summer Arts?



version 1.01