Evaluation Worksheet for Certificate		Pilates Mat Instructor
SID:	________________________________	Certificate of Achievement - 3374
		Effective: Summer 2025
		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 KIN 80  Introduction to Applied Kinesiology and Anatomy 3.0       KIN 90  Pilates Teaching Methodology and Principles 2.0       KIN 91  Pilates Mat Instructor Training 3.0         Complete any combination totaling at least 1.0 units from the following: KIN 50.3  Pilates Mat Teaching Practicum 1.0       WEE 99I  Internship Work Experience Education 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: ____________________________________________