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CSUN CONNECTIONS
"REROUTE TO SUCCESS" FORM
Application for Reroute to Success Program
Your responses will be seen by an academic advisor and kept confidential. The information will be used for planning and advisement purposes only.
First and Last Name:
CSUN Student ID#:
Phone Number:
Preferred Email:
Have you ever applied/attended an Los Angeles Community College District (LACCD) College?
Yes
No
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