GRADUATE
Application for Certificate Completion
Instructions:
Complete and submit this application to the Enrollment Services Center no later than posted deadline for each semester.
Enrollment Services Center, University of West Georgia, Parker Hall, 1601 Maple Street, Carrollton, GA 30118
**There is no fee associated with this application.
Expected Completion Term: Spring Summer Fall
(Year) (Year) (Year)
UWG ID#: UWG Email: @my.westga.edu
Printed Name (As it should appear on the certificate):
(First) (Middle - Optional) (Last) (Jr., Sr., III, Optional)
Certificate Mailing Address:
(Address) (City) (State) (Zip Code) (Telephone)
College: Certificate Program:
(COE, RCOB, etc…)
Please read before you sign:
1. Please notify the Registrar’s Office as soon as possible if there is a change in the above information.
2. You will be notified through your MyUWG account if there is a problem with your certificate status.
3. Applicants who have applied after the stated application deadline will be reviewed as time permits and may
be deferred to the subsequent semester.
Signature: Date:
Rev: 8/11
click to sign
signature
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