Student Education Plan

This form is for online students and others who cannot come to campus to meet with a counselor in person.

To qualify for a priority registration date, students need to complete all the steps of the matriculation process: Orientation, Assessment, and Counseling to develop an Education Plan. To schedule an appointment for any of these steps, please call (760) 384-6219.

* INDICATES REQUIRED FIELD

Please note: Please allow up to 10 business days for a response from the Counseling Office. For more immediate assistance, please call 760-384-6219 for an appointment. Thank you. Cerro Coso Counseling.

First Name:

Last Name:

Birth Date:

Student ID#:

Please do not use your social security number. If you do not know your Student ID Number, please follow the steps below, go to http://accountmanager.kccd.edu/ and click on "Forgot Student/Employee User ID" and follow the directions.

Address:

City, State, Country:

Zip Code:

Home Phone:

Alternate Phone:

Email Address:

Please retype Email:

Cerro Coso Email Address is required. Use of non-college email address will result in delayed service.

Have you attended other college/universities?
Yes No

If yes, have you had your transcripts sent to Cerro Coso?
Yes No

If yes, please provide the following information:

Last Name on Transcript:

Transcript Institution:

Date Transcript was Sent:

Educational Goals:

If you selected "Transfer" as an Educational Goal, please specify your transfer plans:

Major:

Are you requesting an SEP to satisfy a requirement for financial aid?
Yes No

(If Yes, please complete the entire form, including your Educational Goal AND Major.)

By submitting this information a counselor will contact you to assist you in completing a Student Educational Plan.

Cerro Coso Student Email Please leave this field empty.

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