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Get 2019 California State University Form

Tate/Zip Code Daytime Phone: Email Address IMPORTANT: MAKE COPIES OF THIS FORM THIS FORM MUST BE SUBMITTED EACH SEMESTER/QUARTER TO RECEIVE FUNDS. YOU WILL NOT BE REMINDED TO SUBMIT THIS FORM FOR SUBSEQUENT TERMS. This section must be completed by Registrar s Office or campus official authorized to certify enrollment. Name of Institution CURRENT SEMESTER ONLY I certify that status of the above named student is: in a doctoral program for the following semester: o Full-time.

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