Application for Certificate

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					Career and Technical Education                                                      Certificate Completion Application
Department of Organizational Leadership, Policy, and Development  College of Education and Human Development  University of Minnesota



Name                                                                                                              Date


Student ID#                                                            Social Security #


Email Address                                                          Phone


Street


City                                                                                        State                   Zip Code




Upon completing the necessary requirements, you must submit a program completion application to the OPDO
coordinator to receive the career and technical education certificate.

Submit:
    CTE Certificate Completion Application
    Completed CTE certificate program planning sheet
    Transcript showing your completed course courses

To:
       OPDO Coordinator
       210 Learning and Environmental Sciences
       1954 Buford Avenue
       St. Paul, MN 55108




Student Signature                                                                          Date




OPDO Coordinator Signature                                                                 Date




For office use:
Processed by:                                                                              Submitted date:

                                                                                                                         Revised 7/25/2011

				
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