Dvc Educational Plan Form

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DVC Educational Plan
Name: _________________________________
ID#: ___________________________
Educational Goal (choose one):
 AA/AS Degree
Major: _________________________________________
 IGETC
 CSUGE
 Other: ____________________________________________________________
 Transfer Institution: ____________________________________________
 Transfer Major: _________________________________________________
 Certificate Program: ____________________________________________
Counselor: ____________________________
Date: __________________
Semester/Year:
Semester/Year: _______________
Semester/Year: _____________
Semester/Year: ___________
_______________
Courses
Units
Courses
Units
Courses
Units
Courses
Units
Total
Total
Total
Total
0
0
0
0
Semester/Year: _______________
Semester/Year: _______________
Semester/Year: ______________
Semester/Year: ____________
Courses
Units
Courses
Units
Courses
Units
Courses
Units
Total
Total
Total
Total
0
0
0
0
Grand Total
0
Comments: _________________________________
____________________________________________
Student’s Signature: _________________________________________ Date: ______________
____________________________________________
____________________________________________
Counselor’s Signature: _________________________________________ Date: ______________

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