Certificate Application
Given/First Name
Middle Name
SurName/Last Name
Preferred Name
Date of Birth (xx/xx/xxxx)
Gender
Male
Female
Email Address
Home Phone
Mobile Phone
Address
Secondary School
College/University
Anticipated Start Term
Please select...
Fall 2022
Spring 2023
Summer 2023
Fall 2023
Spring 2024
Summer 2024
Fall 2024
Citizenship
Country of Citizenship
Are you Hispanic or Latino? (optional)
Yes
No
Please choose one or more of the following groups in which you consider yourself to be a member of (optional)
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or other Pacific Islander
White
Prefer not to respond
I certify...
that all of the information I provided in this application is complete and accurate to the best of my knowledge. If previous coursework was completed at Seton Hill University, I give permission to the Admissions Office to obtain my transcripts for admissions purposes.
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