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Adult & Continuing Education 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:*
Fax:*
E-mail:*
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)
WCED Management Process (3/12)
WCEU Basic Technical Communication (3/12) +
WCEV Advanced Technical Communication (3/12) +
WCTE Small Business Management (3/12) +
WCTG Computer Graphics (7/20)
WCTQ Quality Management (4/16) +
ITPS Structural Design (5/20)
HCLJ Exercise Science (3/12)
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.