Fillable Application for Certicate of Achievement/ Skills Recognition (Modesto Junior College)

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Application for Certicate of Achievement/ Skills Recognition (Modesto Junior College)

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The Application for Certicate of Achievement/ Skills Recognition (Modesto Junior College) form is 1 page long and contains:

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  • 8 check-boxes
  • 36 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Modesto Junior College

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OFFICE USE ONLY
Comments:
Course(s) Units 1st Final
Application for Certicate of Achievement/
Skills Recognition
Submit completed form by email to mjcevaluations@mjc.edu
Requirements to complete this form & successfully receive your certicate:
• Complete ONE form for EACH certicate. Please type or print clearly.
• You must apply in the term in which you expect to complete your certicate requirements.
• We recommend that you meet with a counselor before applying to ensure you have met all the requirements.
• All correspondence from the Evaluations Oce will be sent to your College Student Email ONLY.
Student Information (Please list your legal name):
Last Name: First Name: Middle Initial:
Student ID: w Birthdate: Phone Number:
I am applying for a Certicate of Achievement/Skills Recognition in:
Requirements were/will be completed: Fall Spring Summer
Year
I acknowledge the ocial name on record will be used as the name on the certicate.
Student Signature: Date:
MJC Enrollment Services • 435 College Avenue, Student Services Bldg. 1st Floor • Modesto, CA 95350 • Phone (209) 575-6605
FOR OFFICE USE ONLY
04/2020_SJB
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Application for Certicate of Achievement Skills Recognition (Modesto Junior College)

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Completed 4 September 2020

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