Evaluation Worksheet for Certificate		General Education Option B: CSU General Education Breadth Requirements
SID:	________________________________	Certificate of Achievement - 3350
		Effective: Fall 2018
		Counseling
Name:	________________________________	(707) 527-4451

REQUIREMENTS: Complete 39.0 units General Education: Option B Requirements - complete 39.0 units Course Description Units Completed In Progress Comments Complete any combination totaling at least 39.0 units from the following: See Option B General Education Worksheet for program requirements

	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: ____________________________________________