Submit this form when you have completed all your certificate  program requirements. Certificates will be awarded once grades are available and classes are verified.  This can take 2 to 4 weeks after form submission based on your certificate or micro-certificate format. 
 
Students will also receive a digital credential (badge) upon program completion and completed certificates will be added to your official University of Utah transcripts in the non-credit course section. Find out more about digital badges here.

Please e-mail us at proed@continue.utah.edu if you have any questions about program completion requirements or completing this form.  

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* 1. Certificate program completed

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* 2. First Name

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* 3. Last Name

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* 4. Email address 

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* 5. Phone Number  

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* 6. U of U Student ID (UNID) if known

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* 7. Date of your final class to complete the program:

Date / Time

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* 8. Name as you would like it to appear on your certificate. Note this name cannot differ substantially from the name on your registration. Please do not add descriptors or educational credentials.

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* 9. Mailing Address (to confirm against our records as these things can change!)

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