Graduate Certificate Program Application for the Certificate

Graduate certificates will be awarded three times a year (May, August and December). Award dates will correspond with graduation dates for that semester. There is no application fee, but you must submit your application by the following dates:

February 1 May Certificate

June 1 August Certificate

October 1 December Certificate

Please complete the following form and submit it to the graduate studies office for processing.

First Name:
Last Name:
WCU ID #:
Email:

Mailing Address:
Street
Apt #
City
State	Zip
Phone

Name, exactly how you would like it to appear on your certificate:
Name:
Name of the Certificate Program:
Expected Completion Date of the Certificate Program (mm/dd/yyyy):	/ /

	I hereby certify that I have personally completed this form and the information is complete and accurate to the best of my knowledge.