TRANSFER STUDENT

First Name: Last Name:

CSUB ID #:

Address: City:

State: Zip:

Day Phone: Home Phone:

Date of Birth:

Email:

Planned Major:

T-Shirt Size: Select T-Shirt Size Small Medium Large XL 2XL 3XL

Please select one:

June 18, 2013 Transfer Students 9:15 a.m.

June 20, 2013 Transfer Students 9:15 a.m.

July 30, 2013 Transfer Students 9:15 a.m.

Accommodations Required: Disability Status

PROGRAM FEE: $55 (non-refundable)
Make check or money order payable to CSUB New Student Program.

Pay at Door