Evaluation Worksheet for Certificate Community Health Worker
 
SID: ________________________________ Skills Certificate - 3154
  Effective: Spring 2005
  Health Sciences
Name: ________________________________ (707) 527-4836

REQUIREMENTS: Complete 16.0 units

Community Health Worker - complete 16.0 units
CourseDescriptionUnitsCompletedIn ProgressComments
CHW 50 Introduction to Community Health Work1.0   
CHW 51 Outreach Techniques and Strategies3.0   
CHW 51L Community Health Experience3.0   
CHW 52B Essential Skills for Community Health Worker II3.0   
CHW 52BL Community Health Experience II3.0   
CHW 53 Community Health Education3.0   

It is important that students who are completing an Associate Degree and desire to transfer to a four-year institution meet with a counselor to plan their lower division coursework. While many majors at SRJC are intended to align with lower division major preparation required by California public universities, specific lower-division major requirements vary among individual campuses. See a counselor, visit the Transfer Center, and check Guides For Transfer in Specific Majors, and ASSIST to review transfer preparation guides for specific schools and majors.

Notes:

Students are recommended to take HLE 50 in addition to other courses in the Community Health Worker program.

Prior to starting the clinical portion of the program, students must submit current immunization records, including TB test results or chest x-rays (if TB test is positive), and current adult/infant/child CPR certificate. This is a requirement of the clinical facilities.

All courses must be completed with a "C" or better.


    Evaluation worksheet completed upon receipt of Transfer Credit Evaluation form. Includes credit from other institutions only received to date.

    Evaluation worksheet completed for ________________________________. Includes all SRJC and transfer credit received to date.

Units completed:    __________
Units in progress:    __________
Total:    __________
    Requirements Completed
    Pending (work in progress)
    Requirements Not Completed

Comments


 

Date: ________________________   By: ____________________________________________