Certificate Candidate Application for Graduation

Certificate Candidate Application for Graduation
Date*

MonthDayYear
Email
example@example.com
Name: as you would like it to appear in the program and on your Certificate *

First NameMiddle NameLast Name
Hometown: the town where you came from when first enrolled at Emmaus*
Certificate Mailing Address: (Certificates will be mailed approximately 12 weeks after graduation)
Street or Box #*
City*
State*
Zip*
Email*
Please provide a personal email where you can be reached after leaving Emmaus
Certificate you are planning to graduate with:*

1 year Certificate in Biblical StudiesContinuing Education Certificate (must already have a Bachelor's degree)
(Attendance at the Commencement Rehearsal on Friday, before Graduation is mandatory)*

Yes I will be participating in Commencement CeremoniesNo, I cannot participate in Commencement Ceremonies
Note: ALL certificate and degree recipients are expected to participate in Commencement Ceremonies. If circumstances do not allow you to be there, you must get permission from Mr. Kunjummen to miss Commencement Ceremonies. Please give your reason for wanting to miss the ceremony and Mr. Carter will get back to you on his approval or denial of your request.
Reason I cannot participate:
Email
example@example.com
Should be Empty: