MONTANA TECH
RESTORATION CERTIFICATE CHECK-OUT LIST
This form must be completed and
submitted to the Graduate
Studies Office before the student can be awarded the Restoration Certificate.
Student’s Name:
Student ID:
Graduate Studies Office
Date
Department Head or Advisor
Date
Department Head or Advisor
Date
Business Office
Date
Completed Program Form and Application for
Certificate form submitted to the Graduate
Studies Office.
Signature of Department Head or Advisor
indicating successful completion of all certificate
requirements
All required courses and deficiency courses (if
applicable) completed successfully
Business Office Check-Out
Grad School Office Completion
Graduate Studies Office
Date
All requirements for a Certificate in Restoration have been successfully completed by:
Beverly K. Hartline, Dean, Graduate Studies
Date
Term Degree Posted
Verified and Posted by
Date