Enroll in SHIP

Enrollment in SHIP for Fall 2022 is now open!

Please note: you must be registered for classes before submitting your SHIP enrollment.

If you have previously completed this form and received a confirmation email, please do not submit another enrollment form.

This form is only for students who meet ONE of the following criteria:

Graduate students enrolled in five or fewer credits
CSU Online students enrolled in six or more credits

SHIP Enrollment (Domestic Students)

Email*
Enter Email Confirm Email
Student First Name*
Student Last Name*
Date of Birth*
CSU ID# (without dashes)*
Semester*
- Fall 2022- $1585; Coverage dates 8/1/2022 - 12/31/2022
I authorize the CSU Health Network to charge the corresponding amount for the semester checked above to my student account.*
- I agree