Fillable Request to Add a Graduate Certificate (University of Toledo)

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Request to Add a Graduate Certificate (University of Toledo)

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Request to Add a Graduate Certificate
Important Information
The Request to Add a Graduate Certificate form is for students who have already been admitted to a degree program at The University
of Toledo and are currently registered. The form is intended
1) to add certificate to degree program currently enrolled in.
The Request to Add a Graduate Certificate form serves as the student’s “application” to the proposed certificate program. The
Graduate Admissions office is not involved in the initial change process. International students should also contact International
Student Services regarding proposed changes of study.
This form is not intended to replace the readmission application or the regular graduate application. The readmission application must
be completed if a student has stopped out for more than two consecutive terms excluding summer and wishes to return to pursue the
same degree program. The regular graduate application is required if a student has already earned a degree and is seeking another
degree, has never attended, or is applying for multiple programs.
It is recommended that the student first contact the Graduate Advisor within the proposed certificate program to gain a clear
understanding of the graduate program’s application process and deadlines. In some cases, the proposed certificate program will
accept application materials submitted to the student’s original graduate program, which the student may request to be sent to the
proposed certificate program. In other cases, new materials may be required. In both cases, the student is responsible for all
application materials.
This form is currently for Main Campus programs only.
Instructions
1. After contacting the proposed graduate program, the student completes Section 1 of the Request to Add a Graduate
Certificate form, including obtaining the Graduate Advisor’s signature of the currently enrolled graduate program. Once
section 1 is complete, the original form should be sent to the College of Graduate Studies.
2. The College of Graduate Studies will review the request, complete Section 2 of the form, enter the request in Banner and
request an official decision from the proposed certificate program. Once a decision is made the student will receive an official
letter from the College of Graduate Studies informing them of the certificate program’s decision.
Request to Add a Graduate Certificate
Important information and instructions are printed on the reverse side.
Section 1: To Be Completed By The Student (Please Print)
______________________________________________ __________________________________________ __________________ ___________________________
Last Name First Name MI Rocket I.D.
______________________________________________ ________________________________________ _______ _____________ ___________________________
Street Address City State Zip Code Phone Number
______________________________________________ _______________________________________ _________________________________________________
Email Last Semester & Year Enrolled at UT Former Names (if any)
Have you lived in Ohio from birth to the current date or have you lived in Ohio for the past 12 consecutive months? Yes No
Have you lived in Monroe County, Michigan from birth to the current date or have you lived in Monroe County, Michigan for the past
12 consecutive months? Yes No
Have you live in one of the following counties in Michigan from birth to the current date or for the past 12 consecutive months?
Yes (see below) No
Please choose one. Hillsdale Lenawee McComb Oakland Washtenaw Wayne
Section 2: To Be Completed By The College of Graduate Studies
Current Graduate Program:
_____________________________________________________________
Name of Current Graduate Program
_____________________________________________________________
Signature, Current Graduate Advisor
_____________________________________________________________
*Student Signature
By signing, you authorize the College of Graduate Studies to
provide the information in Section 2 required for transfer
evaluation
Add Certificate Program:
_____________________________________________________________
Name of Proposed Certificate Program
_____________________________________________________________
Program Code
_____________________________________________________________
Proposed Semester & Year of Transfer
1. Attached are new:
a. Letters of Recommendation
b. Statement of Purpose
2. Use Previously Submitted:
a. Letters of Recommendation
b. Statement of Purpose
3. International students only: Updated bank statement
required.
a. attached
NOTES
Current Academic Status: Regular Provisional
Cumulative GPA: ____________ Earned hours: _____________
Residency Status: Resident Non-Resident International
Date Referred: ________________________________________
Referred By: _________________________________________
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Request to Add a Graduate Certificate (University of Toledo)

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Completed 31 August 2020

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