Please print the form, obtain all the signatures required and then submit to the Office
of Records and Registration in the Cook Administration Building, Room 128 for processing.
Majority of the forms, if not all, will not be available at our front counter.
Required form for students who would like to petition for administrative withdrawal or other registration
modifications due to extenuating circumstances within 60 days of the term’s end date.
With each petition, students are required to submit evidence of the circumstance and/or
proof of attendance/grade from each instructor (if required).
Change of Schedule - Reinstatement | Add/Drop
Required for students who would like to make schedule changes for the term identified
(dropped/ withdrawal changes will be processed with the date of submission as the
effective date.)
- Reinstatement: this form is required for students who were administratively dropped from a course(s).
- Add/Drop: this form is required for students who would like to add and/or drop classes without
academic penalty according to the deadline dates published in the term academic calendar.
Name |
Social Security Number/DOB |
Address & Phone Number
- Name: Required for students who need to make updates/changes to their official name. Official
documentation is needed before requests are processed.
- Social Security Number/Date of Birth: Required for students who need to make updates/changes to their Social Security Number
and/or date of birth. Additional official documentation is required before requests
are processed.
CSU has authorized the National Student Clearinghouse to provide degree and enrollment
verification. National Student Clearinghouse may be contacted at:
- Web: www.studentclearinghouse.org or www.degreeverify.com
- Fax: (703) 742-4239
- E-mail: service@studentclearinghouse.org
- Mail: National Student Clearinghouse; 13454 Sunrise Valley Drive, Suite 300 Herndon,
VA 20171
Students who need a written statement of their enrollment status at CSU or their graduation
date must complete and submit the enrollment verification form and provide a valid photo ID to request a verification. Some requests will require
a $4.00 processing fee.
Graduation Application
Required for Undergraduate students who plan to complete degree requirements for the
specified term. The graduation application must be submitted by the announced deadline
published each term in the General Information Document.
Replacement/Duplicate Diploma Request
Completed by Undergraduate students who would like to have a diploma mailed and/or
to request a replacement diploma.
Exception to the University Policy
Completed by Undergraduate students who would like to request permission to take a
course(s) at another school while enrolled at Chicago State University, and/or to
request an exception to a university academic policy or procedure.
FERPA Authorization Release |
Required form for CSU students to grant consent to release education records including but not
limited to student file, enrollment, grades, discipline, and financial records to
a third party.
Incomplete Grade Request & Contract |
Required form for CSU students who would like to submit a request for a grade of Incomplete. The
process is initiated by the student and must be submitted to the instructor in writing,
using the Incomplete Grade Request and Contract. Instructor must submit the completed
form to CSU-Registrar@csu.edu.
Undergraduate students who would like to request curriculum changes to their academic
record. Complete to add, delete, or change a major, minor or concentration. Please note that all major changes and additions
require advisors' signatures. Advisor signatures are not required to delete or add
a minor.
Please note: To be processed for the current semester, Major/Minor Change Form must be completed
in its entirety and submitted to the Office of Records and Registration BEFORE the “last day of the Add/Drop Period.” Approved changes received AFTER the “last day of the Add/Drop Period” of the term will be processed for the following semester.
A Major/Minor Change Form will not be processed after a degree or credential has been
awarded.
Provide students to select a “Pass/Non=Pass (P/NP)) grading option after consultation
with their academic advisor and the Office of Financial Aid. Given that grade point
average influences admission requirements to professional programs, graduate school
admission and other financial resources, the student must discuss the impact of the
option prior to submitting the request. Once the grade option has been changed, it cannot be reversed.
Prevent Disclosure of Directory Information |
Submit form to the Registrar's Office by the student, prevents the University from disclosing
any information about the student to the public, except only certain organizations
with a legal right to such information.
CSU students
who would like to apply for university administered and/or constructed qualifying examinations.
Please note: Proficiency examinations may be taken for credit in accordance with regulations (see CSU’s catalog for additional information). The grade in the proficiency examination is Pass or Fail.
Required form for
Undergraduate students who have not attended Chicago State University for longer than two years; they must
apply for readmission.