Evaluation Worksheet for Certificate		Pilates Mat Instructor
SID:	________________________________	Certificate of Achievement - 3374
		Effective: Fall 2023
		Kinesiology, Athletics, & Dance
Name:	________________________________	(707) 778-4116

REQUIREMENTS: Complete 9.0 units Pilates Mat Instructor Requirements - complete 9.0 units Course Description Units Completed In Progress Comments KINES 80  Introduction to Applied Kinesiology and Anatomy 3.0       KINES 90  Pilates Teaching Methodology and Principles 2.0       KINES 91  Pilates Mat Instructor Training 3.0         Complete any combination totaling at least 1.0 units from the following: KINES 50.3  Pilates Mat Teaching Practicum 1.0       WEOC 99I  Internship Occupational Work Experience 0.5-8.0

	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: ____________________________________________