Micro-Credential Application

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Round (Hidden)

App Submitted Flag - Yes (Hidden)

App Always Create - Yes (Hidden)

Personal Information

First Name*

Middle Name

Last Name*

Gender*

Birthdate*

Contact Information

Personal Email Address

Mailing Address

Country

Street

City

Region

Postal Code

Cell Phone Number

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Optional Information

Colleges and universities are asked by many groups, including the federal government, accrediting associations, college guides, and newspapers, to describe the ethnic/racial backgrounds of their students and employees. In order to respond to these requests, we ask you to answer the following questions.

Are you a U.S. Citizen?

Yes

No

Are you Hispanic or Latino?

Yes

No

Regardless of your answer to the prior question, please select one or more of the following groups in which you consider yourself to be a member.

Current Employer

Current Profession/Job Title

Highest current level of education

Comments or questions you would like to submit to our faculty.

Program Information

Are you a former or current student at Quinnipiac?

No

Yes

Thank you for your interest in our Micro-Credential programs, please use this link to Register Now.

What term would you like to start?

Micro-Credential you wish to pursue:

Enrollment status - Part-time (Hidden)

Please upload a copy of your most current resume.

It is strongly encouraged to provide transcripts from the college/university where you received your bachelor's degree. If you've yet to complete your bachelor's degree, please reach out to our Graduate Admissions Office at graduate@qu.edu or (203)582-8672 to discuss supplemental materials you can provide.

Certification

I understand that, by submitting this completed form to the applicable program director/coordinator, I am indicating my desire to pursue candidacy for the micro-credential program indicated. I understand that, to be officially admitted to and to enter the micro-credential component of the program, I must fulfill all academic requirements including maintenance of minimum cumulative grade point averages, completion of undergraduate degree requirements, and any other requirements as set forth by the Deans, department chairs, and/or graduate program directors of the applicable academic school.

In place of your signature, please type your full legal name: