______ REFERRAL SERVICES (Check All That Apply)

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
PREREQUISITES / C / I / R / AA/AS Degree
General Education / C / I / R / CSU
General Education / C / I / R / IGETC
General Education / C / I / R
A. Language & Rationality (6) / A. Communications (9) / 1. English Comm. (6 or 9)
A1. CIS 111 Computer Info. Systems / 3 / A1. / A.
A2. ENGL 100 / 3 / A2. / B.
A3. / C. (CSU only)
CERTIFICATE AND/OR
MAJOR COURSES / B. Natural Science & Math (6)
B1. BIOL 210 / 5 / B. Physical Universe (9) / 2. Math (3)
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)
Note: On the CSU General Education plan only 6 units listed under Amer. Ideals may be counted as part of the 9 unit minimum requirement in area D.
Note: The SEP is for advisement only.
It is not an official evaluation. / 1 / 5. Phys. & Bio. Sciences (7-9)
A.
Cultural Diversity (3) / B.
HS 277 / 3 / Amer. Ideals (6) (See Note) / (Lab)
a.
b. / 6. L.O.T.E. (UC only)
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