Fillable SkillsCertificatesApplication-2013Form Los Medanos College

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SkillsCertificatesApplication-2013Form Los Medanos College

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11/30/2012
Application for Los Medanos College Skills Certificate
Print Legibly:
Last Name: _________________________________ First Name: _____________________________
Name as it should appear on Certificate: ___________________________________________________
Address: ____________________________________________________________________________
City: ______________________________________________ State: ________ Zip: _______________
Phone Number: (____)___________________________ Student ID (or SS#): _____________________
Check the certificate(s) you are applying for:
Administration of Justice
____ Basic Law Enforcement Academy I (15 units)
____ Basic Law Enforcement Academy II (10 units)
____ Basic Law Enforcement Academy Module I (14 units)
____ Basic Law Enforcement Academy Module II (9 units)
____ Basic Law Enforcement Academy Module III (6 units)
____ Criminal Investigations Specialist (15 units)
____ Criminal Law Specialist (12 units)
Appliance Service Technology
____ Electrical Appliance Technician(8 units)
____ Heating, Ventilation, and Air Conditioning (14.5 units))
____ Refrigeration Technician (8-10 units)
Automotive Technology
____ Automotive Chassis Specialist (8 units)
____ Air Conditioning Specialist (3 units)
____ Engine Performance (16 units)
____ Engine Repair & Machining Specialist (6.5 units)
____ Smog Technician Specialist Certificate (15.5 units)
____ Transmission Specialist (8 units)
Business
____ Accounting Clerk/Bookkeeper (12 units)
____ Adminstrative Assistant (9 units)
____ Basic Medical/Clerical/Medical Records Clerk (7 units)
____ Basic Clerical (7.5 units)
____ Business Computer Skills (5 units)
____ Business Literacy Skills (6 units)
____ Business Transfer Preparation (17 units)
____ Entrepreneurship/Small Business Start-Up (11 units)
____ Fundamental Business Skills (6 units)
____ Front Office/Medical Billing/Medical Coding (10 units)
____ Legal Secretary (16.5 units)
____ Small Business Management and Operations (15 units)
11/30/2012
Child Development
____ Associate Teacher Permit Coursework (12 units)
____ Assistant Teacher Permit Coursework (6 units)
____ School Age Associate Teacher (12 units)
____ School Age Development and Education Skill Certificate (17 units)
____ Specialization – Site Supervisor/Program Director (6 units)
____ Specialization – Infant Toddler Care (6 units)
____ Specialization – School Age Child Care (6 units)
____ Specialization – Curriculum in Early Childhood Education (6 units)
____ Specialization – Special Needs Care & Education (6 units)
Computer Science
____ Core Competencies (12 units)
____ Foundation (11 units)
____ Game Design (15 units)
____ PC Repair Technician (7.5 units)
____ Web Design (10 units)
Emergency Medical Services
____ Emergency Medical Technician I (6 units)
____ Emergency Medical Technician Recertification (1 unit)
FIRE Technology
____ Basic Academy (15 units)
Management and Supervision
____ Communication Skills for Managers (6 units)
____ Decision Making Skills for Managers (6 units)
____ Human Resource Management Skills (6 units)
____ Leadership Skills for Managers (6 units)
____ Planning Skills for Managers (6 units)
Real Estate
____ Real Estate Sales (9 units)
Travel Marketing
____ Cruise Travel Specialist (8 units)
____ Home-Based Travel Specialist (17 units)
____ Travel Marketing – Level I (12 units)
World Languages
____ American Sign Language (6 units)
____ Cultural Competence in Modern World Language (13-15 units)
____ Spanish Certificate of Proficiency (5 units)
Signature: ________________________________________ Date of Application: ________________
Please submit this form to the Admissions Office upon completion of all courses applicable to the
certificate.
09/05/12 Updated
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SkillsCertificatesApplication-2013Form Los Medanos College

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Completed 24 February 2020

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