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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.

Section 1: Student Information

Student Name*
Date of Birth *
Note: Please DO NOT provide your high school email.
Can Chaffey College contact you via TEXT messaging for updates? *
Please provide your Cell phone carrier*

Section 2: Academic Information

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

Section 2 B: Exploring Academic Goal and Major

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.

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?*
Have you taken college courses while in high school for Dual Enrollment at any other Community College other than Chaffey College?*
Are you in progress or have completed an Advance Placement (AP) exam in high school?*
Separate each exam with a comma.
Are you in progress or have completed an International Baccalaureate (IB) exam in high school?*
Separate each exam with a comma.

Section 4: Unit Load

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

Section 5: Summer Readiness

Do you receive free/reduced lunch?*
Have you ever been in an out of home/foster placement?
Tell us about your academic history (select all that apply)*
Are you a Cal-Learn recipient?*
Summer Class Selection (Please Select Class 1 )*
Summer Class Selection (Please Select Class 2)*

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.

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Select Option Below*
Date/Time
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