Communication Certificate Application | Department of Communication

First Name*
Last Name*
PeopleSoft ID (7 numbers)*
Email*
How do you wish to receive your Credential certificate?*
You may choose one or both options.
- By USmail (please complete address field below)
- By Email (will be sent to email listed above)
Address
Street Address Address Line 2 City State ZIP Code
Credential Type*
Select the certificate you wish to receive. If you are applying to receive more than one credential, you must complete a SEPARATE form for EACH credential.
- Multimedia Production
- Personal Relations and Social Engagement
- Professional Communication
- Strategic Communication
- Public Relations (PR)
COMM Course to be Applied to Credential*
Please list the CATALOG NUMBER (eg. COMM 1234) of the course you wish to be applied toward the Credential and the YEAR you completed it. Please note that a grade of B minus or higher for the course is required, in order to qualify for the Credential.
COMM Course to be Applied to Credential*
Please list the CATALOG NUMBER (eg. COMM 1234) of the course you wish to be applied toward the Credential and the YEAR you completed it. Please note that a grade of B minus or higher for the course is required, in order to qualify for the Credential.
COMM Course to be Applied to Credential*
Please list the CATALOG NUMBER (eg. COMM 1234) of the course you wish to be applied toward the Credential and the YEAR you completed it. Please note that a grade of B minus or higher for the course is required, in order to qualify for the Credential.
COMM Course to be Applied to Credential*
Please list the CATALOG NUMBER (eg. COMM 1234) of the course you wish to be applied toward the Credential and the YEAR you completed it. Please note that a grade of B minus or higher for the course is required, in order to qualify for the Credential.
Name
This field is for validation purposes and should be left unchanged.