Application for Acknowledgement of Program Completion
Name
*
Email address
*
example@example.com
Complete Mailing Address
*
Ex: 1234 Main St, Denver, CO 80000
Phone number
*
Applying for
*
Please Select
Foundational Certificate
Advanced Certificate
Do you live outside the state of Colorado?
*
Yes
No
Please upload your student self-tracking sheet.
*
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Please label files in this format: FirstName_LastName_selftracking.pdf
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Upload high resolution (300 dpi) scans each of your final plates. Please upload JPG format files.
*
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Please label files in this format: LastNameFirstName_Title_Media_Year.JPG
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Plate 1 info
*
Upload high resolution (300 dpi) scans each of your final plates. Please upload JPG format files.
*
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Plate 2 info
*
Upload high resolution (300 dpi) scans each of your final plates. Please upload JPG format files.
*
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Plate 3 info
*
Upload high resolution (300 dpi) scans each of your final plates. Please upload JPG format files.
*
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Plate 4 info
*
Upload high resolution (300 dpi) scans each of your final plates. Please upload JPG format files.
*
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Plate 5 info
*
How would you like your name to be printed on the certificate?
*
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