Certificate Declaration Form
Students currently enrolled in a Master’s program must complete and submit this form to the Registrar’s
office if they plan to also pursue a related certificate program. Students may not be enrolled in more
than two programs at a time.
Name:
Student ID#: Current Master’s Program:
Please choose the appropriate certificate you wish to pursue:
Accounting
Bioinformatics
Ceramic Arts
Cybersecurity
Financial Management
Geographic Information Systems (GIS)
Organizational Management
Project Management
Secondary Mathematics Education
STEM Education (Elementary)
Thanatology
Student Signature Date
Certificate Program Director Signature Date
For office use only
Registrar Signature/Date Entered in Record
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
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