Evaluation Worksheet for Certificate		Human Services: Foundations in Recovery and Academic Success
SID:	________________________________	Skills Certificate - 5125
		Effective: Fall 2022
		Counseling
Name:	________________________________	(707) 527-4289

REQUIREMENTS: Complete 7.0 units Human Services: Foundations in Recovery and Academic Success - complete 7.0 units Course Description Units Completed In Progress Comments HUSV 80  Introduction to Addiction Studies 3.0       KINES 53  Principles of Health and Wellness 3.0       COUN 60  Effective Study Workshop 1.0

	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

Comments

Date: ________________________   By: ____________________________________________