SET Counseling Session (workflow)

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SET Counseling Session

Preparing for my Comprehensive Education Plan

This counseling SET intake form will help the counseling faculty gather information to develop and complete your personalized educational plan.

Please note this form is not your education plan.

Please select your High School:*

Section 2: Academic Information

If you are having issues making a selection on this section, please ask for guidance.

Education Goal: (Please select one of the following goals)*

Do you have Algebra 2, Integrated Math 3 or above with a C or better from high school? *

Please indicate the university system you plan on attending (if known)

Do you have 2 years or equivalent of foreign language from high school with a C or better?

Please select your major of study. *

I do not see my major course of study on the list above. Please write in your major course of study.

Section 2 B: Exploring Academic Goal and Major

Mark this box if you have not declared a major and/or Educational Goal and are still “Exploring"

Marking this box will require a follow up meeting with a counselor to complete an “Explorer Contract” in order to receive credit for an Education Plan. If contract does not get completed, a counselor cannot approve an education plan for you.

Select which community you are still "Exploring."

Section 3: Previous College Courses Completed and External Exams

Have you taken college courses while in high school for Dual Enrollment or High School Partnership at Chaffey College?*

Yes No

Have you taken college courses while in high school for Dual Enrollment at any other Community College other than Chaffey College?*

Yes No

1. Course & Title Number:

Grade Received

2. Course & Title Number:

Grade Received

Add Additional Courses

3. Course & Title Number:

Grade Received

4. Course & Title Number:

Grade Received

5. Course & Title Number:

Grade Received

6. Course & Title Number:

Grade Received

7. Course & Title Number:

Grade Received

8. Course & Title Number:

Grade Received

9. Course & Title Number:

Grade Received

10. Course & Title Number:

Grade Received

11. Course & Title Number:

Grade Received

12. Course & Title Number:

Grade Received

13. Course & Title Number:

Grade Received

14. Course & Title Number:

Grade Received

15. Course & Title Number:

Grade Received

16. Course & Title Number:

Grade Received

Are you in progress or have completed an Advance Placement (AP) exam in high school?*

Yes No

If you answered yes, please list which exam you completed, and the score received if you know it:

Separate each exam with a comma.

Are you in progress or have completed an International Baccalaureate (IB) exam in high school?*

Yes No

If you answered yes, please list which exam you completed, and the score received if you know it:

Separate each exam with a comma.

Section 4: Unit Load

Do you plan to be Full Time or Part Time student?*

Full Time: 12 units or more Part Time: 11 units or less

Do you plan on taking courses in Summer?*

Yes No

Section 5: Review

Please review your intake form above before hitting the SUBMIT button below.

Once you click the SUBMIT button, a counselor will review the information you provided within 7-14 days to develop, complete, and approve the education plan for you. If you need to make changes after hitting SUBMIT, you will need to make an appointment with a counselor.

You will receive an email confirmation from a counselor once your education plan is complete and approved along with information on where to view the education plan.

Admissions & Records

Chaffey ID Number*

Comments

Date/Time

Section 1: Student Information

Section 2: Academic Information

Section 2 B: Exploring Academic Goal and Major

Section 3: Previous College Courses Completed and External Exams

Section 4: Unit Load

Section 5: Review