Student Information First Name Middle Initial Last Name Phone # FSU E-mail FSUID Address Street City State - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP Requirements Academic Status (select one) I am currently pursuing a degree. I am currently registered, or plan to register, as a non-degree seeking student or transient student. What is your major? Completion I plan to complete the 12 credit hour certificate program on or before: Resume Upload Your resume must be included and is considered part of your official application. Acknowledgement I agree to the following: I have read and understand the published provisions for admission, satisfactory completion, course program and rationale; I commit to submitting a program of studies form when I have completed the courses and wish to recieve the Certificate. Submit
