Evaluation Worksheet for Certificate		Firefighter I Academy
SID:	________________________________	Certificate of Achievement - 3180
		Effective: Fall 2018
		Public Safety
Name:	________________________________	(707) 836-2913

REQUIREMENTS: Complete 21.5 units Firefighter I Academy Requirements - complete 21.5 units Course Description Units Completed In Progress Comments Complete any combination totaling at least 2.0 units from the following: EMC 100  Emergency Medical Responder 2.0       EMC 103  Emergency Medical Technician Basic 5.5         FIRE 71  Fire Protection Organization 3.0       FIRE 208  Introduction to Firefighter I Academy 1.5       FIRE 208.1  Firefighter I Academy 15.0

	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: ____________________________________________