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Prefix

Nickname

First Name

Former First Name

Last Name

Former Last Name

Suffix

Contact Information

Email Address

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Preferred Phone

Mobile Phone

Please provide country code if outside of the U.S.

Country

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Time Zone

CalSouthern does not accept applications from residents of Massachusetts, New York, and certain foreign countries.

Gender

How did you hear about us?

Best Time To Call

Entry Term

Highest Degree Earned:

Applicant Type

New Learner – You have not previously attended CalSouthern University OR you have completed a program.

Reentry Learner – You previously attended but did not complete your program.

Academic Program of Interest

Password must be at least 8 characters in length and contain at least one non-alphanumeric character. The password you create is case sensitive.

Password

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