Chaffey College Counseling Department

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Counseling Department

REQUEST FOR EDUCATIONAL PLAN

This form may be used to request a copy of a previously-created Educational Plan. Do not use this form to request a counseling appointment to develop a new Educational Plan.

Please make sure to fill out this form completely.
Most fields require input to ensure we can find your Educational Plan.
Your results will usually be available after 48 business hours.
You must display a photo ID to pick up the Educational Plan.

The counseling department does not guarantee that we will be able to locate your Educational Plan. If we cannot find it, you will need to schedule an appointment with a counselor and have a new Plan created.


	Date Submitted *
	First Name *
	Middle Initial
	Last Name *
	E-Mail Address *
	Chaffey ID Number *
	Approximate date that the previously created Educational Plan was created (mm/dd/yy) *
	When the Educational Plan was created, what method was used? * Hand-written on paper A computer (ActionPlanit) Guidance 504 class High school SEP
	Comments
	* Entry required in this field

Rev. 6/25/08

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