Cypress College - DOC

Document Sample
Cypress College - DOC Powered By Docstoc
					                                                                                      Cypress                 College
__________________________________________________________________________                                                         REFERRAL SERVICES (Check all that apply)
Last Name                                                   First Name                   Middle Initial
                                                                                                                       □    Assessment               □   Financial Aid             □   VA Plan
Student I.D. @_________________________________ Phone# (                       )________________________               □    Career Planning Center   □   Health Center
                                                                                                                       □    DSPS                     □   Special Program s
Educational Goal(s)       □   Certificate       □   AA/AS            □   Transfer        □   Other                     □    EOPS                     □   Transfer Center

Major_________________________________________              Transfer Institution_____________________________

ENGLISH/ESL/MATH                                      AA/AS Degree                                             CSU                                                 IGETC
PREREQUISITES                       C       I   R     General Education                         C    I    R    General Education                 C   I    R        General Education                C   I   R

                                                      A. Language & Rationality (6)                            A. Communications (9)                               1. English Comm. (6 or 9)
                                                      A1. CIS 111 Computer Info.                3              A1.                                                 A.
                                                      Systems
                                                      A2. ENGL 100                              3              A2.                                                 B.
                                                                                                               A3.                                                 C. (CSU only)
CERTIFICATE AND/OR                                    B. Natural Science & Math (6)
MAJOR COURSES                                         B1. BIOL 210                                             B. Physical Universe (9)                            2. Math (3)
                                                                                                5
                                                      B2.                                                      B1.
                                                                                                               B2.                                                 3. Arts & Humanities (9)
                                                      C. Arts & Humanities (6)                                 (Lab)                                               A.
                                                      C1.                                                      B4.                                                 B.
                                                      C2.                                                                                                          A. or B.
                                                                                                               C. Arts & Humanities (9)
                                                      D. Social Sciences (6)                                   C1.                                                 4. Social/Behavior Sciences (9)
                                                      HS 277                                    3              C2.
                                                                                                               C1. or C2.


                                                      E. Phys. Activities & Health (1)                         D. Social Sciences (9)
                                                                                                1                                                                  5. Phys. & Bio. Sciences (7-9)
Note: On the CSU General Education plan                                                                                                                            A.
only 6 units listed under Amer. Ideals may            Cultural Diversity (3)                                                                                       B.
be counted as part of the 9 unit minimum
                                                      HS 277                                    3              Amer. Ideals (6) (See Note)                         (Lab)
requirement in area D.
                                                                                                               a.
Note: The SEP is for advisement only.                                                                          b.                                                  6. L.O.T.E. (UC only)
It is not an official evaluation.                     Reading Proficiency


                                                                                                               E. Life-Long Understanding. (3)                     7. Amer. Ideals (6) (CSU only)
                                                                                                                                                                   a.
                                                                                                                                                                   b.

         OTHER COLLEGES ATTENDED

1. ________________________________                         __________________________________                         __________________________________________                             _______________
                                                            Counselor’s Signature                                      Student’s Signature                                                    Date
2. ________________________________
SEP Revised 09/08     White – Counselor                     Pink – EOPS        Yellow – Student                        C = Completed       I = In Progress     R = Remaining

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:34
posted:7/30/2012
language:English
pages:2