Purpose:

Assessment:

Current situation:

Employment goal:

College attending:

Releases of information:

Class schedule:

Number of credits:

If not full time, was an exception done?

Book list:

College terms and conditions:

Living situation:

FAFSA information:

Cumulative GPA:

Previous semester successes/challenges:

Items to be authorized:

Tuition:

Room/board:

Cost of required books:

Grants and scholarships:

Need for exceptions:

Intervention:

Guidance and counseling provided by:

Plan: (amount to be authorized and not exceed, dates the authorization is effective, set up progress meeting)

Next meeting scheduled for (if pre-ets -no more than one month out):

Counselor next steps:

Client next steps: