Application for Continuing Education Certificate

Note: Please do not use your browser's 'back' or 'refresh' buttons (this may cause information you've entered in the application pages to be lost prior to submission). To navigate throughout the application, please use the 'Next Page' and 'Previous Page' buttons at the bottom of each application page.

Personal Information

Applicant's Legal Name Information

Please enter first, last, and any middle names that appear on legal documents (Passport, Identification card, etc.). This information will be included in your letter of acceptance (if you qualify for admission), therefore, it must match your legal documents.

Legal First Name

Required Field

Secondary Middle Name

Required field

Preferred First Name

Required field

Legal Middle Name

Required field

Legal Last Name

Required Field

Applicant's Historical Entries

Historic Last Name(s)

Required field

Account Creation

Please provide valid email

Please ensure this is the personal email address of the applicant. If you are an agency applying on behalf of a student, there will be a field further down to note the agency-based email address.

Password

Password must be at least seven characters long

Confirm password

Password and Confirm Password must match

Invalid username

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