Forms

Women filling out forms

 

Faculty

Course Request & Update Form

Completed for course creation and updates for the new term designated.

Instructor Authorization Form

Completed for assigned Instructor(s) changes only for the term designated.

 

Both of these forms are accessible in Adobe Echo Sign. See instructions here to submit

Course Adjustment Form

After completing this form, please email to csu-registrar@csu.edu.

 

Students

Access the required form here

The academic petition is for students who would like to appeal an administrative withdrawal or other registration modifications due to extenuating or mitigating circumstances within 60 days of the term’s end date. For each petition, students must submit evidence of the event with proof of attendance/grade from each instructor.

 

Students can also petition for an extension of the deadline to remove an Incomplete (“I” grade) for a period not to exceed one additional semester. The petition must include the signed consent of the instructor of record and the extension deadline date. The petition for an extension must be submitted 30 days before the final date of completion, as listed on the Incomplete Grade Request and Contract form.

 

Students can petition for reinstatement after one semester of dismissal for not maintaining academic standards. The student must present the request for reinstatement using this form and must include the signed consent of the college Dean or designee. 

 

The Office of the Registrar reviews all academic petitions within sixty (60) days of receipt by the Academic Petition Committee. Students will receive notification of a decision within 30 days of the review. All petition decisions are final.

 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.
  • Address & Phone Number: if you are a current student, you can update your address and/or phone numbers through Cougar Connect. See instructions here for more details:  

pdf icon Instructions to Update Contact Information 

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.

For undergraduate students, complete this form to have a diploma mailed to you or to request a replacement diploma.

 

For graduate students, complete this form to have a diploma mailed to you or to request a replacement diploma (for Master and Doctoral degree recipients only).  

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.

Completed this form 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.

Exceptions to University policy may be requested in writing to the Office of the Provost using this form.  Requests for exceptions should be clearly written and include a detailed explanation about why the student believes an exception is warranted, along with the appropriate signatures and supporting documentation as applicable. 

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.

Click here to apply as an undergrad for Summer 2022 graduation by June 24th!  

For graduate students, click here to apply to graduate; the same deadline applies. 

If you would like to participate in Commencement, please see our Commencement page here

If you would like to get a head start on applying to graduate for a future term, here are some next steps:

  • Meet with your Faculty and/or Professional Advisor to discuss graduation. They can help review your academic records to confirm degree requirements or provide next steps if any course substitutions are needed.
  • There is a $50 graduation application fee that will be assessed to your account when you submit your graduation application. You can stop by the Cashier's Office to pay this fee any time or call by phone: (773) 995-2029.
  • Diplomas are available approximately 3 months (12 weeks) following the semester you graduated. Students will be notified via their CSU email when diplomas are shipped. Please make sure that your contact information with the University is up to date. You can check this via Cougar Connect. See instructions on how to update your contact info here

Finally, participation in the graduation ceremony does not constitute graduation. 

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.

In addition, see this new academic major report for the state of Illinois. This tool contains useful data on how graduates from different majors are doing in the labor market: How much money are they earning? What industries are they working in? How much debt do they graduate with? What occupations are they likely to hold? Whether declaring an initial major, or switching majors, use this tool to better inform you of your choices!

Illinois Colege 2 career

Important notes:

  • All major changes and additions require advisors' signatures.
  • Advisor signatures are not required to delete or add a minor.
  • A major/minor change form will not be processed after a degree or credential has been awarded.

Click here to complete the Mental Health Disclosure form.

In accordance with the Student Optional Disclosure of Private Mental Health Act (IGP 59.1), Chicago State University is providing students the opportunity to authorize in writing the disclosure of certain private mental health information to a designated person of your choosing.

This Act states that an institution of higher learning may disclose mental health information if a physician, clinical psychologist, or qualified examiner, makes a determination that the student poses a clear danger to himself, herself or others to protect the student or other person against a clear, imminent risk of serious physical or mental injury or disease or death being inflicted upon the person or by the student on himself, herself, or another. The physician, clinical psychologist, or qualified examiner shall, as soon as practicable, but in no more than 24 hours after making the determination under this section, attempt to contact the designated person and notify the designated person that the physician, clinical psychologist, or qualified examiner has made a determination that the student poses a clear, imminent danger to himself, herself, or others.

If you desire to designate a person that would receive certain private mental health information in such a situation, please complete the form above and return it to the Office of the Registrar. You can also email the form to CSU-Registrar@csu.edu , in the subject line please include Mental Disclosure.  The form will allow you to affirmatively authorize, or decline to authorize, the disclosure of the information.

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.

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.

Students need to complete the Reverse Transfer Agreement Form to allow sharing of transcript information between CSU and the Illinois public community college. 

Students who transferred to Chicago State University with at least 15 transferable credit hours from an Illinois public community college and did not already receive an Associate’s degree are eligible to participate in the reverse transfer program.

Upon achieving junior standing (60 earned credit hours), students may apply to participate in the Reverse Transfer program. The student may receive an Associate’s degree from the Illinois community college, subject to review of completed coursework and satisfaction of degree requirements by the community college, while continuing to earn a Bachelor’s degree at Chicago State University. 

See our page on Reverse Transfer for more information.