Application for Certificate of Completion in General Education
or Embedded Certificate
Student ID Name (Last, First, Middle)
Mailing Address
City State Zip Daytime Phone #
Indicate the certificate for which you are applying (select one):
Certificate of Completion in
Certificate of Proficiency in
Catalog year used for program requirements:
Semester you will complete program requirements:
Note: Students with a previously
awarded AA or AS degree are not
eligible for the Certificate of
Completion in General Education.
Anticipated Class Schedule for Next
Semester
Course Abbrev. Course # Credit Hours
Total Credit Hours:
Anticipated Transfer Credit or AP/CLEP/
Challenge Exam Credit
Course Abbrev. Course # Credit Hours
Total Credit Hours:
Any changes to the information listed above must be reported to the Graduation Office.
Applications will be denied if all requirements of the program of study are not met.
The Graduation Office advises ALL students to consult with an academic advisor before applying for any award.
Academic Advising can be contacted by phone: (801) 957-4978.
No fee is required to submit this application. However, to receive a printed diploma you must complete the
Diploma Order Form and pay the $25.00 fee.
Certificate of Completion in General Education
Fill out the form completely
and submit by fax: (801) 957-4961 or mail:
Graduation Office
4600 S. Redwood Road, SLC UT 84130
For questions call: 801-957-4035
