Southern Oregon University Microcredentials (Badges) Application
Use this form to apply to receive your badge(s) once you have completed all requirements.  Please do not utilize this form until you have completed all requirements for the badge(s) you wish to be issued.
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Email *
First name as you would like it to appear on your badge: *
Middle name or initial as you would like it to appear on your badge (leave blank if no middle name or initial is desired):
Last name as you would like it to appear on your badge: *
Name suffix as you would like it to appear on your badge (leave blank if no name suffix is desired):
SOU Student ID # (940 #): *
Date of birth: *
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What badge(s) are you applying for? *
Required
Information about SOU badges:
1.  Badges will be issued electronically only and will not appear on student transcripts.
2.  You will be notified (via your SOU email address) if/when your badge is approved and issued, along with instructions about retrieving and using your electronic badge.  You will also be notified if there are any remaining requirements needed to fulfill your badge.
3.  You will be assessed a $10 fee (will be charged to your SOU account) per badge you receive.
4.  Please allow approximately 4 weeks for your application to be processed and for your badge(s) to be issued.
Please initial below to acknowledge you have read and agree to the "Information about SOU badges" section above: *
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