Date of birth:	mm/dd/yyyy
How many total transferable semester/quarter units:
Select One No units completed Fewer than 30 semester units/45 quarter units 30-59.5 semester units/45-89.5 quarter units 60-89.5 semester units/90-134.5 quarter units 90 or more semester units/135 or more quarter units Will have bachelor's degree and enroll in teaching credential program Will have bachelor's degree and enroll in graduate degree program
College applying to:	Undetermined Bakersfield Channel Islands Chico Dominguez Hills East Bay Fresno Fullerton Humboldt Long Beach Los Angeles Maritime Academy Monterey Bay Northridge Pomona Sacramento San Bernardino San Diego San Francisco San Jose San Luis Obispo San Marcos Sonoma Stanislaus
Select where student is likely to live while attending the above CSU campus:	Click Here At home with parents On campus (residence hall) Off campus (apartment or house)
Select one of the following for a Cal Grant eligibility estimate:
Click Here Student is not a California resident Transfer student with a Cal Grant A or Cal Grant A reserve award Transfer student with a Cal Grant B award Graduated high school in 2009-2010 or later with at least a 3.0 GPA Graduated high school in 2009-2010 or later with GPA between 2.0 and 3.0 Transferring from a community college with at least a 2.4 GPA* None of the above *and graduated high school in 2000-2001 or later
Is the student an active duty member or a veteran of the U.S. Armed Forces? Yes   No Is the student an orphan or ward of the court, emancipated, in foster care or homeless? Yes   No Will the student be working on a degree beyond the bachelor's degree in school year 2012-13? Yes   No If you are enrolling in a teaching credential program, answer "No" unless you will also be working on a master's degree.   Is the student married? Yes   No Does the student have children who receive more than half their support from the student or does the student have dependents (other than a spouse or children) who will live with the student and receive more than half their support from the student? Yes   No