Part-time Study

Application for Undergraduate Certificate Programs Less Than 24 Credit Hours

* indicates a required field

Are you applying for Full-time or Part-time study? Please check one:*
Full-time
Part-time

First Name:*
Middle Initial:*
Last Name:*
Gender:*		Female Male
Date of Birth:*		MM/DD/YYYY
Home Address:*
City:*
State:*
Zip Code:*
NY State County:*
Home Phone:*
Work Phone:*
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Employer:*
Ethnic Origin: For reporting to the Federal Government (optional)		White (non-Hispanic origin) Black (non-Hispanic origin) Asian or Pacific Islander American Indian or Alaskan Native Hispanic Other
Certificate Program Selection Please respond to the questions below and select one of the certificate programs listed below. If you are working on more than one certificate, please complete a separate form for each. The + indicates that these certificates have the option of being completed through online learning or on campus. The ++ indicates that these certificates are offered to Deaf and Hard of Hearing Students ONLY and can be completed through online learning or on campus.
	CODE	CERTIFICATE (number of courses/credit hours required)
	ICTE	Small Business Management (3/12) +
	ICTG	Computer Graphics (7/20)
	ICED	Management Process (3/12)
	ICEQ	Basic Quality (3/12) +
	ICER	Quality Implementation (3/12) +
	ICEU	Basic Technical Communication (3/12) +
	ICEV	Advanced Technical Communication (3/12) +
	ICEW	Public Relations Communications: Graphic Communication (8/21)
	ICEX	Public Relations Communications: Professional Writing (9/20)+
	ICTL	International Logistics & Transportation Management (3/12)+

	IEM1	Environmental Management Science (3/12)

	ITCD	Data Communications (3/12) +
	ITCE	Voice Communications (3/12) +
	ITCF	Telecommunications Network Management (4/16) +

	ITCM	Fundamentals of Manufacturing Management (3/12)+
	ITCP	Manufacturing Processes (3/12)
	ITCR	Robotics and CAM (3/12)
	ITPS	Structural Design (5/20) +

	NACI	Intro to Programming (4/14) ++

	SCLJ	Exercise Science (3/12)

	ITCQ	Computer-Aided Drafting (4/16)


In which quarter do you plan to begin taking courses at RIT?		Fall Winter Spring Summer
What is your anticipated date of completion for the certificate program selected?
Are you currently matriculated in a degree program at RIT?		Yes No
If "Yes", what program?
Please indicate your level of education:		high school, no diploma high school graduate/GED some college, no degree associate degree bachelor's degree post baccalaureate degree
By submitting this form, you are acknowledging that all information contained in this application is complete and factually correct.

Part-time Study

Application for Undergraduate Certificate Programs Less Than 24 Credit Hours

Certificate Program Selection