10/16/14
Application for Los Medanos College Skills Certificate
2014 - 2015
Print Legibly:
Last Name: First Name:
Name as it should appear on Certificate:
Other colleges attended outside the CCCCD:
Note: At least 50% of units must have been completed at Los Medanos College. No substitutions allowed.
Official transcripts must be on file at the time of application (except CCC and DVC).
Address:
City: State: ________ Zip:
Phone Number:
( )
Student ID: ______________
Check the certificate(s) you are applying for:
*Administration of Justice
____ Basic Law Enforcement Academy Module III (6 units)
Appliance Service Technology
____ Electrical Appliance Technician (8 units)
____ Heating, Ventilation, and Air Conditioning Specialist (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 (15.5 units)
____ Transmission Specialist (8 units)
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 Skills Certificate (17 units)
____ Specialization – Site Supervisor/Program Director (6 units)
____ Specialization – Infant Toddler Care (6 units)
____ Specialization – School Age Child Care (6 units)
____ Curriculum in Early Childhood Education – Specialization Certificate (6 units)
____ Specialization – Special Needs Care & Education (6 units)
