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Graduate Certificate Course Verification

Use this form if you earning a Graduate Certificate to verify that you have completed the coursework necessary to receive the certificate.


  1. Fill out all fields, using the spaces provided to list all coursework that fulfills the requirements for the certificate.
  2. Provide the NetID of the coordinator of the graduate certificate program, so that this form can be automatically sent to them for approval.
  3. Electronically sign where indicated and submit the form to be approved by the coordinator of the certificate program and the Graduate School.