California State University CI PIER Program Application Form
This application form is for the PIER Program at CSU Channel Islands, which helps freshmen and new transfer students with disabilities transition and succeed. It connects students with peer and staff mentors to support academic and social acclimation. Completing this form involves meeting specific requirements such as weekly mentor meetings and attending workshops.
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How do I fill this out?
To fill this form, please provide your personal and academic information. Ensure you answer all questions regarding your strengths, challenges, goals, and availability. Follow the detailed instructions to complete all required sections.
How to fill out the California State University CI PIER Program Application Form?
1
Provide your personal and academic information.
2
Answer questions about your goals, strengths, and challenges.
3
Indicate your availability for weekly mentor meetings.
4
Sign and date the form.
5
Submit the form to the Educational Access Center.
Who needs the California State University CI PIER Program Application Form?
1
Freshmen students with disabilities enrolling at CSU Channel Islands.
2
New transfer students with disabilities attending CSU Channel Islands.
3
Students seeking academic and social support through mentorship.
4
Individuals needing assistance with academic skills and campus resources.
5
New students wanting to develop effective learning strategies.
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What are the instructions for submitting this form?
Submit the completed PIER Program Application Form to the Educational Access Center (Bell Tower 1541) or email it to pierdrp@csuci.edu. Allow up to 10 days for processing and review. Contact the Educational Access Center at (805) 437-3331 for any questions or concerns.
What are the important dates for this form in 2024 and 2025?
The PIER Program Application Form should ideally be submitted at the start of the Fall and Spring semesters in 2024 and 2025. Please check specific deadlines announced by the Educational Access Center.
What is the purpose of this form?
The purpose of this form is to facilitate the application process for the PIER Program at CSU Channel Islands, providing crucial support to first-time freshmen and new transfer students with disabilities. Through the PIER Program, students will connect with peer and staff mentors who will assist them with academic and social acclimation. This program aims to promote independence, academic success, and personal growth, encouraging students to utilize campus resources and develop necessary skills for success. By participating in the PIER Program, students receive tailored support and guidance to help them navigate their first semester at CSU Channel Islands, ultimately aiding in their transition and retention.
Tell me about this form and its components and fields line-by-line.
- 1. Semester: Select the applicable semester, either Fall or Spring.
- 2. Full Name: Provide your last name, first name, and middle initial.
- 3. CI Email Address: Enter your CI-specific email address.
- 4. Major/Minor: State your major and minor fields of study.
- 5. Student ID: Provide your student identification number.
- 6. Phone Number: Enter your contact phone number.
- 7. Class Standing: Select your current class standing.
- 8. How did you hear about this program?: Indicate how you learned about the PIER Program.
- 9. Future Goals: Describe your goals for the upcoming semester at CI.
- 10. Strengths and Talents: List your strengths, abilities, and natural talents.
- 11. Challenges: Identify three challenges you may face as a student at CI.
- 12. Skills to Improve: Specify the skills you want to strengthen or improve this semester.
- 13. Expected Gains: Explain what you hope to gain by participating in the PIER Program.
- 14. Days/Hours of Availability: Provide your availability for weekly meetings with your mentor.
- 15. Student Signature: Sign the form to complete your application.
- 16. Counselor Signature: The counselor's signature verifies review and processing.
What happens if I fail to submit this form?
If you fail to submit this form, you will not be able to participate in the PIER Program, missing out on valuable academic and social support.
- Missed Opportunities: You will miss the chance to connect with mentors and utilize campus resources.
- Lack of Support: You will not receive the structured support for academic success and personal growth.
- Delayed Growth: Your transition to CI may be more challenging without the program's assistance.
How do I know when to use this form?
- 1. Freshmen Students: First-time freshmen with disabilities enrolling at CI.
- 2. Transfer Students: New transfer students with disabilities attending CI.
- 3. Seeking Mentorship: Students looking for academic and social support through mentors.
- 4. Academic Assistance: Individuals needing help with academic skills and resources.
- 5. Learning Strategies: Students wanting to develop and improve learning strategies.
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