APPLICATION FOR VOCATIONAL TECHNICAL AWARD Student’s Name (Must match student record) Student Identification Number When do you plan to complete your program? Street Address COURSE TITLE SECTION I Today’s Date Check Below √ Male ____ | | Female ____ Quarter and Year Fall [ ] Winter [ ] Spring [ ] Summer [ ] 20___ City & State Zip Code Phone Number SECTION II Associate of Applied Science in Social & Human Services Related Instruction Courses: (30 Credits) ENGL& 101 English Composition I ENGL& 102 English Composition II SOC& 101 Introduction to Sociology (formerly SOC 110) PSYC& 100 General Psychology (formerly PSY 110) CMST& 101 Introduction to Communication Social Science/Humanities Elective Human Services Core: (30 Credits) SHS 100 Introduction to Human Services SHS 103 Survey of Institutions SHS 106 Interviewing and Counseling SHS 108 Group Dynamics and Counseling SHS 197 Field Placement in Human Services SHS 198 Field Placement in Human Services SHS 199 Field Placement in Human Services Human Services Specialization Courses: (30 Credits) SHS 150 AIDS Workshop SHS 200 Theories of Counseling SHS 205 Crisis Management and Intervention SHS 207 Behavior Management SHS 210 *Multicultural Counseling (OR) SHS 223 *Multicultural Counseling (LGBT) SHS 215 **Adolescent Development and Treatment (OR) SHS 226 **Adolescent Assessment SHS 222 Conflict Management SHS 224 Leadership Theory and Skills SHS 225 Relapse Prevention Physiology/Pharmacology of Chemical Dependency SHS 231 SHS 232 Chemical Dependency and the Family SHS 233 Chemical Dependency Counseling SHS 235 Introduction to Chemical Dependency SHS 242 SHS 245 SHS 250 SHS 255 SHS 265 SHS 270 SHS 275 SHS 280 SHS 296 SHS 297 SHS 298 SHS 299 Mental Health Diagnosis/Chem Dependency Mental Health Overview Community and Client Advocacy Co-occurring Disorders: Treatment Issues & Svc Management and Supervision Law and Ethics in Chemical Dependency Chemical Dependency and Domestic Violence Chemical Dependency Case Management Human Services Workshops Human Services Workshops Human Services Workshops Independent Study of Research NOTE: A total of eight credits may be used from SHS 296, SHS 297, SHS 298, or SHS 299 for the Degree. Do Not Write In This Section 5 5 5 5 5 5 INSTRUCTIONS Place a √ in one of the Section I Section III is for the student who is getting credit for a course NOT TAKEN at SCCC. Check the box which is appropriate if this Section applies to you. 5 5 5 5 3 3 4 1 4 3 3 3 1 5 1 3 3 1 3 3 5 5 List ALL electives taken or currently in progress at the bottom of this sheet. Return this form to: Registrar's Office in Room BE1104 NOTES: 5 3 4 5 5 3 3 3 1 2 3 1-5 90 TOTALS ___________________________________ Evaluator (Date) B-228 Revised 2/11 SECTION III ___________________________________ Dean (Date) GPA ___________________________________ Executive Dean (Date)
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