Evaluation Worksheet for Certificate Adult Ed: Youth in Out-of-Home Care
SID: ________________________________ Certificate of Completion - 5099
  Effective: Fall 2018
  Adult Education
Name: ________________________________ (707) 527-4720

REQUIREMENTS: Complete 0.0 units

Adult Ed: Foster Parent Preparation - complete 0.0 units
CourseDescriptionUnitsCompletedIn ProgressComments
ADLTED 730 First Aid, CPR, AED and Bloodborne Pathogens0.0   
ADLTED 734A Youth in Out-of-Home Care 10.0   
ADLTED 734B Youth in Out-of-Home Care 20.0   
Complete any combination totaling at least 0.0 units from the following:
Complete 2 courses from below    
Complete any combination totaling at least 0.0 units from the following:
ADLTED 735.1 Early Start Developmental Screening Tools0.0   
ADLTED 735.2 Trauma Informed Relationships--Part 10.0   
ADLTED 735.3 Trauma Informed Relationships--Part 20.0   
ADLTED 736A Medically Fragile Infants--Part 10.0   
ADLTED 736B Medically Fragile Infants--Part 2 Practicum0.0   

It is important that students who are completing an Associate Degree and desire to transfer to a four-year institution meet with a counselor to plan their lower division coursework. While many majors at SRJC are intended to align with lower division major preparation required by California public universities, specific lower-division major requirements vary among individual campuses. See a counselor, visit the Transfer Center, and check Guides For Transfer in Specific Majors, and ASSIST to review transfer preparation guides for specific schools and majors.


Complete all three courses listed above.

    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



Date: ________________________   By: ____________________________________________