CSUCI Student Pass Application
for currently enrolled CSUCI students only
Name
*
First Name
Last Name
Email
*
example@example.com
Relevant course/academic context
*
Please list course number(s) or indicate other academic purpose, i.e. capstone or independent research and the academic program in which it is taking place.
Current semester
*
Please Select
Spring
Fall
Submit
Should be Empty: