If you will be applying for any of the following Health Science programs, you DO NOT NEED to complete this form. Please contact the Academic and Career Counseling Department to schedule an appointment to review all coursework towards the specific program requirements.

You can view the Application Instructions and all information regarding the program you will be applying for on their specific page of the Chaffey College website. You can submit the specific program evaluation request form during that programs evaluation period.

Radiologic Technology (RT)

Physical Therapist Assistant (PTA)

Associate Degree in Nursing (ADN)

Vocational Nursing (VN)