The Certificate in Adult Education is awarded upon completion of the five classroom modules/required assignments of the Diploma in Adult Education program. We issue the certificate (by mail) once we receive this (completed) form: NAME TO BE INSCRIBED ON THE CERTIFICATE (please print) ______________________________________________________________________________________ ID # ___________________________________________________________________ MARKS RECEIVED FOR MODULE 1_______ MODULE 4 _______ MODULE 2 _______ MODULE 5 _______ MODULE 3 _______ DATE OF FINAL MODULE ________________________ MAILING ADDRESS: Return to: LOCATION __________ _______________________________________________ _______________________________________________ _______________________________________________ _______________________________________________ • dipaded@stfx.ca) … OR • fax: 902-867-2486 … OR • Diploma in Adult Education St. Francis Xavier University 2175 Varsity Dr., MacDonald Hall Antigonish, NS B2G 2W5 Congratulations and best of luck with your practicum. Wm. Goggin Director, Diploma in Adult Education Diploma in Adult Education, StFX, 2012