Graduate Certificate Completion Notification All graduate certificate students must complete this form to earn a graduate certificate. Submit the form to your Student Success Coach to route to the Registrar. If your home campus is Online, please fax your form directly to 866-487-9582. Certificate requirements are reviewed after you finish the last class required for the certificate. Your certificate will be mailed at the end of the semester in which you complete the last required certificate course, after the final grade for your final certificate class has been received and all requirements have been satisfied. Name: DSI: Home Location: Current Address: City: State: Home Phone: Daytime Phone: Email: PLEASE NOTE: If your address changes, immediately notify your Student Success Coach or Online Academic Advisor. Please check the classes you have successfully completed (including the final course(s) in which you are currently enrolled) for the appropriate certificate. Transfer credit, a course waiver or a course exemption may be used to satisfy one 3-credit hour course requirement. If a course waiver is used, then a replacement course must be taken. A course may be applied to one graduate certificate only. Educational Management Educational Management Corporation/Corporate Electronic Commerce Health Services Business Administration K-12 Entrepreneurship Training Divisions Management Management (IL ONLY) (IL ONLY) AC505 AC505 EM510 EC541 FI504 FI504 FI504 EM510 EM512 EC542 FI512 GM591 FI515 EM512 EM514 EC543 GM560 MM522 GM520 EM514 EM516 EC544 GM591 GM545 EM517 EM520 FI504 GM597 Four (4) of the following: GM591 EM520 EM522 GM591 GM599 HS541 IS535 EM531 EM524 MM522 MM522 HS542 MM522 FI515 EM530 PM586 MM572 HS543 GM520 EM601 HS544 HS546 CPA Preparation – CPA Preparation – Human Resources Accounting Financial Analysis Project Management Professional Leadership Advanced Accounting Management AC505 AC505 AC559 AC559 GM591 GM588 AC550 AC553 AC564 AC560 HR587 GM591 AC551 FI504 AC571 AC562 HR590 PM586 AC553 FI515 AC574 AC564 HR592 PM587 AC557 FI516 AC591 AC571 HR593 PM592 FI504 FI560 AC592 AC573 HR594 PM595 FI561 AC593 AC574 PM598 One (1) of the following: AC594 AC591 Two (2) of the following: AC555 FI512 AC592 HR530 AC559 HR587 AC593 HR582 PM586 AC594 HR586 HR595 HR598 HR599 Network & Communications Information Systems Educational Technology Information Security Wireless Communication Management Management (Online ONLY) IS589 IS535 SE571 IS589 EDT505 SE571 IS581 SE572 TM561 EDT520 SE572 IS582 SE578 TM563 EDT530 TM584 IS589 SE579 TM564 EDT535 TM585 SE571 SE591 TM589 EDT550 TM589 SE592 TM590 Two (2) courses from any One (1) of the following: Two (2) of the following: IS courses (except IS505 & SE572 EDT510 IS525) and the SE570 level TM562 EDT542 and SE590 level courses. EDT560 EDT570 EDT580 EDT590 I would like my name to appear EXACTLY AS FOLLOWS on my certificate: (please PRINT clearly) I understand that my certificate award is contingent upon: 1. A cumulative grade point average of 3.00 or better in my certificate courses as indicated by the Academic Catalog. 2. My having fulfilled all financial obligations to the University. 3. Having an official copy of my undergraduate transcript on file. Student Signature: University Academic Form: Graduate Certificate Completion Notification V. 1.0 NONE July 12, 2011 Version: Supersedes: Date: Page 1 of 1