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In order to verify an individuals identity, personal information must match information on-file with the university. Once the form is submitted, our staff will review the submission, and attempt to verify your identity using our verification tool. If successful, we will contact you using the provided email address to send a temporary password.
First Name
Last Name
List any other names under which you attended CSUSM:
CSUSM Student ID # (Do NOT submit your social security number!)
Example: 000123456 (usually starts with 0, 1 or 2)
Campus Email Address (@csusm.edu or @cougars.csusm.edu)
Choose all that apply
I am a student already registered in at least one class.
I am an alumni of CSUSM.
I am a former student (did not graduate yet).
I am an applicant (not yet officially accepted).
I am an incoming student (I've been officially accepted but have not yet registered in classes).
I attended exclusively in an Extended Learning program, Palliative Care, and/or Nursing.
Email on file not accessible or correct.
Other (please explain)
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