Instructional Technology & K-12 Certificate Enrollment Request
Please complete this form so we can help you with information about our certificate programs.
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First Name *
Last Name *
Email *
Secondary Email (optional)
Phone Number *
Highest Degree Completed *
Current Degree Program if at FAU
What semester do you hope to begin the certificate program *
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Which Certificate are you interested in? *
Why are you interested in this program?
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