STUDENT
EVALUATION
FORM
Student’s Name:__________________________________________________Student ID#: K_________________________
Date:_______________________________Pipeline Email Address:______________________________@pipeline.sbcc.edu
Other Colleges Attended:_________________________________________________________________________________
Instructions:
1) Complete all fields with course information that you would like considered. PLEASE TYPE DIRECTLY INTO THE FORM.
2) Save the document and email it to Linda Uribe, Academic Counselor, at uribe@sbcc.edu. If you need assistance, please email Linda.
3) To receive transfer credit, official transcripts must be on file in Admissions (http://www.sbcc.edu/transcripts/incomingtranscripts.php).
4) Incomplete course information will lead to a denial of coursework.
5) You will receive the evaluation results at your SBCC Pipeline email.
CANCER INFORMATION MANAGEMENT
ASSOCIATE IN SCIENCE DEGREE 2015-16
CIM Department Requirements (Total 47 units)
COMP 101 Microsoft Office
4.0 sem.
HIT 135
Medical Terminology
3.0 sem.
BMS 146
Human Form and Function
3.0 sem.
HIT 101
Intro. to Health Information Mgmt 3.0 sem.
CIM 100
Cancer Registry Management I
3.0 sem.
HIT 204
Basic Pathophysiology
3.0 sem
CIM 125
Cancer Disease Management
4.0 sem.
CIM 201
Abstracting Principles and
Practice I
3.0 sem.
CIM 150
Oncology Coding and Staging
Systems
4.0 sem.
CIM 202
Abstracting Principles and
Practice II
3.0 sem.
CIM 225
Cancer Registry Management II
2.0 sem.
CIM 250
Cancer Statistics and
Epidemiology
3.0 sem.
HIT 240
Quality Healthcare Management
3.0 sem.
MGMT 101 Intro to Management
3.0 sem.
CIM 275
3.0 sem.
CIM Practicum
Institution Name
Course Name &
Number
(Ex: HIT 135)
Course Title
(Ex: Medical Terminology)
Type
(sem.
or
Grade Units quart.)
Term
(F07,
S08 or
SU08)
CANCER INFORMATION MANAGEMENT
ASSOCIATE IN SCIENCE DEGREE 15-16
General Education Requirements
Institution Name
A.
Natural Science with lab
4.0
sem.
B.
Social and Behavioral Science
Examples: Psychology, History, Sociology
3.0
sem.
C.
Humanities
Examples: Art Appreciation, Music History, Film
Appreciation, Philosophy, Foreign Language
(Hands-on Art or Music classes are not accepted)
3.0
sem.
D-1.
English Composition
Must be Freshman Composition, university-level.
BA/BS degree meets requirement.
3.0
sem.
D-2.
Communication and Analytical Thinking
Math course will double count for this requirement
3.0
sem.
E-1.
Intermediate Algebra
3+
sem.
Course Name &
Number
(Ex: PSY 100)
Course Title
(Ex: General Psychology)
Choose 3 out of 4 of areas E-2 through E-5:
E-2.
American Institutions
US History or American Government
3.0
sem.
E-3.
PE/Health
2 units of PE activity OR 1 unit PE activity + 3-unit
personal health course
2-4
sem.
E-4.
Oral Communication
Speech, Interpersonal or Group Communication
3.0
sem.
E-5.
Multicultural/Gender Studies
Central theme of course is non-western or women's
studies. Examples: Cultural Anthropology,
Comparative Religions, Intercultural
Communications, Nonwestern Art, World Music
3.0
sem.
F.
Information Competency
Research and information literacy course
1.0
sem.
Counselor Comments:
Counselor Signature:
Date:
Type
(sem.
or
Grade Units quart.)
Term
(F07,
S08 or
SU08)