Certificate Application

Certificate Application

If you are completing your third class in the Homeland Security Certificate program this semester, please fill out and submit the following application.

After final grades have been received and it is determined that you have successfully completed the program, the certificate will be mailed to the address you provide.

Name
Student number/PID
Email address
Street address
City
State
ZIP code

Enrolled in degree program	Lifelong Education student

Please list the semester and year in which each course was taken, as well as the course number and title.

For example: Fall 2011, CJ 439, Homeland Security
Course 1
Course 2
Course 3

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