Verification of Certificate

Candidate:

Student ID:

Dept. & No. Title Credits Semester

The Departmental Committee approves the courses listed above to satisfy the certificate requirements. The Committee has examined the candidate with respect to completion of the courses and project and recommends that the student be awarded the above-designated certificate.

Approve Disapprove Printed Name Signature and Date

Remarks and other Recommendations (must be completed if candidate is not approved)

To receive a certificate, you must have completed an application and been accepted by the appropriate certificate program.

This report is to be filed in the Graduate School as soon as the requirements are completed. If the student is NOT recommended, please explain the committee’s action (attach letter if necessary). Certificates are awarded at the end of the semester in which the approved verification form is submitted. Certificates are mailed to the ‘Home’ address indicated in Campus Connection approximately 6 weeks after the end of the semester.

Updated 1/2018

Graduate School Dean ApprovalAcademic Support Specialist Review

Required Courses

Certificate: