Evaluation Worksheet for Certificate		Adult Ed: Student Success Worker
SID:	________________________________	Certificate of Completion - 5116
		Effective: Fall 2022
		College Skills
Name:	________________________________	(707) 521-7962

REQUIREMENTS: Complete 0.0 units Adult Ed: Student Success Worker - complete 0.0 units Course Description Units Completed In Progress Comments ADLTED 761.1  Basic Computer Operations 1 0.0       ADLTED 764  Introduction to Student Information Systems 0.0       ADLTED 793  Student Support Worker 1: Introduction to Student Success 0.0       ADLTED 794  Student Support Worker 2 0.0       Complete any combination totaling at least 0.0 units from the following: Complete 1 course from below:           Complete any combination totaling at least 0.0 units from the following: ADLTED 761.2  Basic Computer Operations 2 0.0       ADLTED 761.3  Basic Computer Operations 3 0.0

	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: ____________________________________________