Counseling

Counseling Department
Intake Form for Online Counselor
First Name:  
Last Name:
Email Address:  
Phone Number:
Are you currently enrolled and taking classes at COC?  Yes     No
COC Student ID#:
Are you currently enrolled in a COC online course?  Yes     No
Have you attended other colleges/universities?  Yes     No
Please list the colleges/universities you have attended:
Are your official transcripts from all colleges/universities you have attended on file with the Admissions & Records office?  Yes     No
What is your educational goal at COC?
Certificate of Specialization
Certificate of Achievement
Associate Degree
Preparation for transfer to a California State University - CSU
Preparation for transfer to a University of California - UC
Preparation for transfer to University
What is your major going to be when you transfer to a college/university?
What is your career goal?
What is your question to an online counselor?

Please click on the "Submit " button to send your question to an online counselor.

Can't find it? Try the Cougar Search Engine

 

College of the Canyons

Valencia campus:

(661) 259-7800

• 26455 Rockwell Canyon Road, Santa Clarita, CA 91355

Canyon Country campus:

(661) 476-3800

• 17200 Sierra Highway, Santa Clarita, CA 91351


Copyright © 2001-2007 by College of the Canyons. All rights reserved.

Terms under which this service is provided to you.