Evaluation Worksheet for Certificate Dental Assisting (Extended-22-month)
SID: ________________________________ Certificate of Achievement - 3177
  Effective: Fall 1981
  Health Sciences
Name: ________________________________ (707) 527-4447

REQUIREMENTS: Complete 43.5 units

American Dental Association Requirements - complete 9.0 units
CourseDescriptionUnitsCompletedIn ProgressComments
PSYCH 1A General Psychology3.0   
Complete any combination totaling at least 3.0 units from the following:
ANAT 51 Anatomy & Physiology1.0-5.0   
HLC 50 Basic Physical & Biological Science3.0   
Complete any combination totaling at least 3.0 units from the following:
FDNT 10 Elementary Nutrition3.0   
FDNT 62 Nutrition & Diet Therapy3.0   
Dental Assisting Requirements - complete 34.0 units
CourseDescriptionUnitsCompletedIn ProgressComments
DNA 63 Introduction to Chairside Dental Assisting3.0   
DNA 62 Introduction to Dental Procedures3.0   
DNA 66 Dental Specialties2.0   
DNA 67 Advanced Dental Assisting3.0   
DNA 64 Dental Science II3.0   
DNA 69 Clinical Practice I3.0   
DNA 70 Clinical Practice II4.0   
DNA 68 Dental Office Management2.0   
DNA 60 The Dental Assistant in Practice2.0   
DNA 65A Introduction to Dental Radiology I2.0   
DNA 65B Dental Radiology II2.0   
Dental Assisting (Extended-22-month) Requirements - complete 0.5 units
CourseDescriptionUnitsCompletedIn ProgressComments

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.


Students must provide documentation of a recent health examination, immunization records, and copy of a current CPR card, including adult, child and infant.
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



Date: ________________________   By: ____________________________________________