Evaluation Worksheet for Certificate Dance: Ballet
SID: ________________________________ Skills Certificate - 3233
  Effective: Summer 2009
  Kinesiology, Athletics, & Dance
Name: ________________________________ (707) 527-4260

REQUIREMENTS: Complete 17.0 units

Dance Core Requirements - complete 11.0 units
CourseDescriptionUnitsCompletedIn ProgressComments
DANCE 2 Survey of Dance History3.0   
DANCE 3.1 Choreography I2.0   
PHYED 50 Teaching Aides1.0-2.0   
Complete any combination totaling at least 2.0 units from the following:
DANCE 28 Choreography for Performance2.0   
DANCE 29 Dance Ensemble2.0-3.0   
Complete any combination totaling at least 3.0 units from the following:
ANAT 1 General Human Anatomy5.0   
ART 2.1 History & Aesthetic Appreciation of Prehistoric - Gothic Art3.0   
ART 2.2 History and Appreciation of Late Gothic to Impressionist Art3.0   
DANCE 11.1 Ballet I1.0-2.0   
DANCE 11.2 Ballet II1.0-2.0   
DANCE 13.1 Jazz Dance I1.0-2.0   
DANCE 13.2 Jazz Dance II1.0-2.0   
DANCE 16.1 Modern Dance I1.0-2.0   
DANCE 16.2 Modern Dance II1.0-2.0   
DANCE 18.1 Tap Dance I1.0   
DANCE 18.3 Tap Dance III1.0   
DANCE 21.1 Hip Hop/Funk I1.0-2.0   
DANCE 21.2 Hip Hop/Funk II1.0-2.0   
DANCE 30 Dance Outreach1.0-2.0   
DANCE 35 Improvisation1.0   
DANCE 37.1 Ballroom Dance I1.0   
DANCE 37.3 Ballroom Dance III1.0   
DANCE 40 Introduction to Folk Dance1.0   
DANCE 41 International Folk Dance1.0   
DANCE 42 Greek Folk Dance1.0   
DANCE 43 Balkan Folk Dance1.0   
DANCE 44 Israeli and Middle Eastern Dance1.0   
DANCE 45 Bulgarian Folk Dance1.0   
DANCE 46 Romanian Folk Dance1.0   
DANCE 72 Dance Repertory0.5-1.5   
PHYED 27.1 Beginning Aerobic Dance1.0-2.0   
PHYED 27.2 Intermediate Aerobic Dance1.0-2.0   
PHYED 28.1 Beginning Step Aerobics1.0-2.0   
PHYED 28.2 Intermediate Step Aerobics1.0-2.0   
PHYSIO 50 Exercise, Fitness and Wellness4.0   
PHYSIO 58 Introduction to Human Physiology3.0   
THAR 10A Introduction to Techniques of Acting3.0   
THAR 21 Introduction to Costuming3.0   
THAR 22A Introduction to Makeup2.0   
THAR 26 Theatrical Lighting3.0   
THAR 42 Dance-Theatre Workshop1.0-2.0   
Ballet Emphasis Requirements - complete 6.0 units
CourseDescriptionUnitsCompletedIn ProgressComments
Complete any combination totaling at least 2.0 units from the following:
DANCE 11.3 Ballet III1.0-2.0   
DANCE 11.4 Ballet IV1.0-2.0   
Complete any combination totaling at least 4.0 units from the following:
DANCE 3.2 Choreography II2.0   
DANCE 4 Music for Dance2.0   
DANCE 11.3 Ballet III1.0-2.0   
DANCE 11.4 Ballet IV1.0-2.0   
DANCE 14 Lyrical Jazz Dance1.0-2.0   
DANCE 16.3 Modern Dance III1.0-2.0   
DANCE 16.4 Modern Dance IV1.0-2.0   
PHYED 32 Body Mechanics1.0-2.0   
PHYED 33 Pilates Mat1.0-2.0   
PHYED 35 Yoga1.0-2.0   

    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: ____________________________________________