R e t a i l M a n a g e m e n t C e r t i f i c a t e P r o g r a m
)$;FRPSOHWHGIRUPVXQRIILFLDOWUDQVFULSWVWR278-0348
or send as an attachment to blivingston@cerritos.edu
Application for WAFC Certificate of Completion & Honorarium
Name: _____________________________ Social Security Number: _______________________
Home Address: _________________________________ City: ____________________________
State: ________________ Zip: _____________ Home Phone: _____________________________
Employed by: ___________________________ Store/Facility #: __________ Hire date: ________
Position held: __________________________ Immediate Supervisor: _____________________
* * * * * * * * * * * * * *
Instructions to applicant:
1. It is recommended that you schedule an appointment with a representative from the community
college you are attending to ensure you are taking the proper coursework for the WAFC Retail Management
Certificate.
2. Complete all WAFC Retail Management Certificate coursework before submitting this application to your
Human Resources Department.
3. Attach transcripts from all colleges at which you completed courses in the WAFC Retail Management
Certificate program.
4. On page 2 of this application, include the signature of a faculty/administrative member at the college
you have most recently attended, certifying that all courses were completed with a passing grade of “C” or
better, and that all courses meet the WAFC required course list.
5. Submit the completed application to your Human Resources Department for approval and issuance of
the WAFC certificate/honorarium.
HUMAN RESOURCES:
1. Please review the application and required documentation (transcripts, etc.) fully.
2. Confirm by your signature below, that the employee/applicant has successfully completed the WAFC Retail
Management Certificate Coursework with a passing grade of “C” or better.
3. Contact WAFC for the honorarium; Create the certificate; Arrange a recognition event (e.g. luncheon) to
present certificate and honorarium.
4. Maintain this application and its attachments in the HR Department for future reference.
Signature: ____________________________________ Date: ______________________
Title: ________________________________________ For: _______________________
(Company name)
C e r t i f i c a t e A p p l i c a t i o n - W A F C R e t a i l M a n a g e m e n t . d o c
April 2007
Student ID# ____________________
Employee ID# ____________________
Home phone: ____________________
Cell phone: ____________________
Personal email address: __________________________
