University of Nebraska at Omaha

Application Fee: $5.00 must be submitted with application

Application deadlines are the same as those for an advanced degree

Refer to http://www.ses.unomaha.edu/registrar/

Students must apply to receive their certificate with the Office of Graduate Studies. The certificate will be mailed after all courses are completed satisfactorily. Graduate certificate students do not participate in the commencement ceremony .

                                  Date                                             

                                * Date of Birth (mm/dd/yy)           

                                * NU ID#                                        

                                ** Name                                         

                                ( **As you wish it noted on your certificate )

                                * Present Address:

                                    E-mail                                    

                                   Telephone                              

Program Information

                                   College                                   

                                   Award                                     

                                   * Major                                    

                                    Award Date                          

Employment

                                    Employment position after award    

                                    Employer                                            

                                    Location of Employer

*Required Fields

Submit Application to the Office of Graduate Studies,

University of Nebraska at Omaha , EAB203, 6001 Dodge Street , Omaha , NE 68182

(402) 554 – 2341, graduate@unomaha.edu