Higher, Adult, and Lifelong Education
Graduate Certificate in Teaching and Learning in Postsecondary Education
Intent to Enroll Form & Program Plan
This form is to be used by individuals currently enrolled in a graduate degree program at MSU who are
interested in obtaining a Graduate Certificate in Teaching and Learning in Postsecondary Education.
Last/Family Name First/Given Name Middle Name PID
Street Address
Country City State Zip
E-mail address
Please indicate name of current program and type of degree:
Anticipated semester to begin enrollment in Graduate Certificate in Teaching and Learning:
In addition to the required course EAD 861, please indicate the two other courses that you anticipate
taking to complete the Certificate program:
Intend to Take
Intended Semester of
EAD 861: Adult Learner (required)
EAD 860: Concepts of a Learning Society
EAD 863: Training and Professional Development
EAD 866: Teaching in Postsecondary Education
EAD 871: Collegiate Contexts for Teaching and Learning
EAD 877: Program Planning and Evaluation
EAD 878: Education in the Digital Age
After completing this form, please save a copy for your records and attach it to an email addressed to