SANTA BARBARA CITY COLLEGE
APPLICATION FOR SKILLS COMPETENCY AWARD
Spring
Term of Completion:
Fall Summer I Summer II Year: ___________
Student
Signature: ___________________________________
Date: ______________________
Submit
completed form to Admissions & Records (SS-110), email to diplomas@sbcc.edu, fax to 805-962-0497, or mail to:
SBCC Admissions & Records
721 Cliff Drive
Santa Barbara, CA 93109
For
information about awards, see http://www.sbcc.edu/diplomas
Type
or insert signature
Office Use Only Audit:
Approved
Award Date
Denied Processed by:
Last revised 12/15/21
Program:
Acute Care
Home Health Aide
Esthetician I Esthetician II
Other (specify program name[s]): _____________________________________________________________________
All coursework for the award has been completed or is in progress at SBCC: Yes No*
*Official external transcripts and petitions for waivers/substitutions must be submitted to Admissions & Records
Mailing Address for Award*:
*EMT Awards are distributed in person at the last course meeting. If needed, mailing will be processed by the Allied Health department.
Award applications are not required for this program.
Student Name: _____________________________________________ SBCC ID: K ___ ___ ___ ___ ___ ___ ___
Student Name to Display on Printed Award:
___________________________________________________________
Phone: _____________________________ Email: ____________________________________________________
Certified Nursing Assistant
