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Parent/Guardian Information

You may update this information at any time prior to submission. Once you have submitted, the information on this page cannot be edited.

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*Indicates required field

Name and Relationship

First Name

First Name is required.

Last Name

Last Name is required.

Relationship to Applicant *

Residency

Is your parent/guardian a current permanent resident of California?

Yes

Mailing Address

Country / Territory *

Street Address 1

Street Address 1 is required.

Street Address 2

City

City is required.

State/Province *

Select a State/Province

Zip/Postal Code

Contact Information

Email Address

Phone Number

Type *

Alternate Phone Number

Type *

Authorization

Do you give permission for the admission office to communicate with your Parent/Guardian regarding your application?

Yes

University/Campus Communications

Do you give permission for your parent/guardian to receive university communications? These may include new student and housing information, parent activities, volunteer and charitable opportunities, and general campus information.

Yes

Emergency Contact

I authorize the use of this parent/guardian information to be used as my emergency contact when I enroll at a CSU.

Yes