Enrollment Form
Please complete all fields of the form. Once your enrollment has been reviewed and approved, you will receive an email confirmation.

If you have any questions, please send email to kavang@csufresno.edu
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Student Information
First Name *
Last Name *
Address, City, Zip *
Phone (000-000-0000) *
Email Address *
***Please DO NOT use your student email address
Student ID *
Grade Level *
Gender *
Ethnic Group *
(Optional)
Required
Which of the following area(s) do you have interest in teaching?
(Check all that apply)
** ONLY ANSWER IF YOU SELECTED HIGH SCHOOL; which subject area are you interested in teaching at the high school level?
High School Information
School Name *
Name of High School Counselor *
What is the title of the Education Pathway class you are enrolled in *
(ex: Grade 11 - Careers with Children
Who is your Education Pathway teacher? *
What is your current GPA? *
Parent/Guardian Information
Name (First Last) *
Phone *
Email Address *
Parent email cannot be the student email.
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