Evaluation Worksheet for Certificate Dental Assisting
SID: ________________________________ Certificate of Achievement - 3176
  Effective: Fall 2023
  Health Sciences
Name: ________________________________ (707) 535-3788

REQUIREMENTS: Complete 26.0 units

Dental Assisting Requirements - complete 26.0 units
CourseDescriptionUnitsCompletedIn ProgressComments
DA 50 Introduction to the Dental Assisting Profession2.0   
DA 60 Applied Dental Science2.0   
DA 62 Introduction to Dental Procedures3.0   
DA 63 Dental Specialties3.0   
DA 64 Advanced Dental Assisting2.0   
DA 65 Dental Science3.0   
DA 66.2 Clinical Seminar1.0   
DA 66.2L Clinical Practice5.0   
DE 51 Occupational Health and Safety2.0   
DE 55A Introduction to Dental Radiology2.0   
DE 55B Dental Radiology1.0   

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.


The program advises that students take CS 5 (Computer Literacy) and HLC 160 (Medical Terminology) prior to entering the program.

Students must provide documentation of a recent health examination, immunization records, and copy of a current CPR card, including adult, child and infant. (American Heart Association or Red Cross)

All courses in the program 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



Date: ________________________   By: ____________________________________________