Certificate of Accomplishment Form

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CERTIFICATE OF ACCOMPLISHMENT (fewer than 18 units)
1. Department/Program Name
2. Name of Accomplishment Certificate
3. Accomplishment Certificates are for improved employability or job opportunities. Please
state the specific skills, certificate exams, or job titles this certificate prepares the student
for. Demonstrate a need in the labor market.
4. Courses required for the Certificate of Accomplishment
(List complete information for each course)
Course Number
Course Title
Units
TOTAL NUMBER OF UNITS REQUIRED FOR CERTIFICATE
5. Required minimum GPA (cumulative GPA or GPA in each course?)
– Mark the appropriate box(es) below with X:
Cumulative GPA for certificate courses
Grade of
or better
or better in each course
Both above requirements must be met.
6. Time limit requirement, if applicable (e.g. all of the courses or a
specific course must be completed within a certain number of years
Years
or NA:
7. On what curriculum guide(s) will this
certificate be placed?
Name of Department Head (PRINT)
Department Head Signature
Date
Name of Articulation Officer (PRINT) or
AD/GE Representative
Articulation Officer Signature or AD/GE
Representative
Date
Name of School Dean (PRINT)
School Dean Signature
Date
Date approved by Board of Trustees:
[DO NOT EXCEED ONE PAGE]
Articulation Office/AD-GE (Feb 2013)
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