Student Name:
_____________________________________________________
Social Security:
_____________________
Graduation Date:
_____________
Please complete this worksheet and attach to your
completed Middlesex Community College Application for Admission. Indicate any
course that completes less than one academic year of study (one unit). You may
attach additional sheets to list your completed subjects or supplemental
explanations including, but not limited to:
You may also submit a “Home School Credit
Evaluation” indicating coursework completed in each subject area and
include:
SUBJECT YEAR
COMPLETED
GRADE COMPLETED
ENGLISH (4 Units)
MATH (3 ½ Units + ½ Unit of Computer)
o
Algebra I __________________
____________________
o
Algebra II __________________
____________________
o
Geometry __________________
____________________
o
Advanced Mathematics __________________
____________________
o
Computer __________________
____________________
o
Other ___________________ __________________
____________________
NATURAL
SCIENCE (2 Units)
o
Physical Science __________________
____________________
o
Biology w/ Lab (required) __________________
____________________
o
Chemistry with Lab __________________
____________________
o
Other ___________________ __________________
____________________
SOCIAL
STUDIES (3 Units)
o
U.S. History I (required) __________________
____________________
o
U.S. History II (required) __________________
____________________
o
World History __________________
____________________
o
Other __________________ __________________
____________________
FOREIGN
LANGUAGE (2 Units)
o
First Year _____________ __________________
____________________
o
Second Year ___________ __________________
____________________
o
Other ________________ __________________
____________________
VOCATIONAL
EDUCATION/ARTS (1 Unit)
o
Course ________________ __________________
____________________
o
Course ________________ __________________
____________________
o
Other _________________
__________________
____________________
PHYSICAL
EDUCATION (1 Unit)
o
Course ________________ __________________
____________________
o
Course ________________ __________________
____________________
o
Other _________________
__________________
____________________
HEALTH (1 Unit)
o
Substance Abuse
__________________
____________________
o
Course ________________ __________________
____________________
o
Other __________________ __________________
____________________
ACADEMIC
ELECTIVES (6 ½ Units)
o
Course ________________ __________________
____________________
o
Course ________________ __________________
____________________
o
Course ________________ __________________
____________________
o
Course ________________ __________________
____________________
o
Other _________________
__________________
____________________
Completed
by: _____________________________________ Date: ____________________