Fillable DECLARATION OF CERTIFICATE (Wheaton College)

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DECLARATION OF CERTIFICATE (Wheaton College)

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The DECLARATION OF CERTIFICATE (Wheaton College) form is 1 page long and contains:

  • 2 signatures
  • 6 check-boxes
  • 7 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Wheaton College

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DECLARATION OF CERTIFICATE
Name
____________________________________________________________________________
Student #
________________________________________________________
Check One: ____ Declaration of Certificate ____ Dropping Certificate
Present Classification: FR SO JR SR
Major Field(s): ___________________________________________________________________________________________________________________
Certificate: _______________________________________________________________________________________________________________________
Certificate Director Name: ___________________________________________________________________________________
________________________________________________________________________________________________________
Certificate Director Signature
Date
I authorize the release of my academic records to the Certificate Program director, named above.
__________________________________________________________________________________________________________
Student Signature Date
Return signed form to the academic department of the certificate, The Certificate Director approves the change
and emails a scanned copy to registrar
.
forms@wheaton.edu.
Rev. 4/2020
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DECLARATION OF CERTIFICATE (Wheaton College)

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Completed 2 February 2021

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