Ask a Counseling Question Online

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Last Name	*
Email Address	*
Confirm Email Address	*
Password	*
Confirm Password	*
Student Identification Number (if you have one)
Phone Number	*
Street Address
City
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Are you currently a Cerritos College student?	YES NO
Are you currently an international student?	YES NO
Are you currently enrolled in a:
learning communities course?	YES NO
distance education course?	YES NO
Have you attended other colleges/universities?	YES NO
If yes, please provide name and state
Are your transcripts on file with the Admissions & Records office?	YES NO
What is your major?	*
What is your career goal?
Educational Objective:
Certificate Only	Advance in current job/career
Associate Degree	Prepare for a New Career
Vocational Associate Degree	Maintain certification/license
Bachelor's Degree	Discover career interest/goal
Both Associate & Bachelor's	Cultural development/interest
Complete credits for high school/GED	Undecided
Improve basic skills: English, Reading, Math

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Web Author: Francesca Bello, Kristen Towhid

Office use only: Counseling Intranet