Certificate Programs Application

Fields marked with an asterisk (*) are required.

Biographical Information

First Name*

Last Name*

Birthdate*

STUDENT ID IF FMU STUDENT

Email Address*

Mailing Address*

Country

Street

City

Region

Postal Code

Mobile Phone Number

Citizenship Status

Are you a military veteran or on active duty?

Which certificate program are you applying to

Academic History

Do you possess a high school diploma or GED?

School Name

Please list any relevant professional experience

The information I have provided is complete and correct to the best of my knowledge. If my application is accepted, I agree to abide by the policies, rules and regulations at any school to which I am admitted. I authorize the University to verify the information I have provided. I further understand that the information submitted herein will be relied upon by the officials of the University in determining my admission and residency status for tuition purposes and that the submission of false information is grounds for rejection of my application, withdrawal of acceptance, cancellation of enrollment, and/or disciplinary action.

Please type your full name to sign and acknowledge

Certificate Programs Application

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