Evaluation Worksheet for Certificate		Dance: Ballet
SID:	________________________________	Skills Certificate - 3233
		Effective: Fall 2013
		Kinesiology, Athletics, & Dance
Name:	________________________________	(707) 527-4260

REQUIREMENTS: Complete 12.5 units Dance Core Requirements - complete 9.5 units Course Description Units Completed In Progress Comments DANCE 3.1  Choreography I 2.0       KFIT 50  Teaching Aide 1.0-2.0         Complete any combination totaling at least 2.0 units from the following: DANCE 27  Dance Production 2.0       DANCE 28  Choreography for Performance 2.0       DANCE 29  Dance Ensemble 2.0-3.0         Complete any combination totaling at least 4.5 units from the following: DANCE 11.3  Ballet III 1.5       DANCE 11.4  Ballet IV 1.5       DANCE 13.3  Jazz Dance III 1.5       DANCE 13.4  Jazz Dance IV 1.5       DANCE 14.1  Lyrical Dance I 1.5       DANCE 16.3  Modern Dance III 1.5       DANCE 16.4  Modern Dance IV 1.5       DANCE 21.3  Hip Hop/Funk III 1.5         Ballet Emphasis Requirements - complete 3.0 units Course Description Units Completed In Progress Comments Complete any combination totaling at least 3.0 units from the following: DANCE 11.3  Ballet III 1.5       DANCE 11.4  Ballet IV 1.5

	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: ____________________________________________