UCBA Change or Addition of Certificate
You are submitting this form on the student's behalf. This form should be completed only after a discussion with the student and it is noted in advisor notes. Submissions are processed and effective on the first day of the following semester.
Student Full Name
*
First Name
Last Name
Former Name(s)
UC ID
*
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Phone Number
*
(513) 555-5555
UC E-mail
*
example@example.com
CPAS student?
No
Yes
Using Veteran Education Benefits?
*
No
Yes
Choose Your New Certificate
Requested Beginning Academic Year and Semester for New Certificate
*
Please select year
Summer 2025
Fall 2025
Spring 2026
Summer 2026
Fall 2026
Current Program or Certificate
*
Please select program
Accounting (Certificate) - PB
Animation(Certificate) - CERT 1
Applied Administration (BTAS)
Applied Graphic Communication - AAB
Applied Media Communication - AAS
Biological Sciences - AS
Business Management Technology – Business Management - AAB
Business Management Technology –
Deaf Studies (Certificate) - PB
Chemistry - AA
Chemistry - AA - AA
Chemistry - ACS
Chemistry - ACS - AS
Communication - AA
Dental Hygiene Technology
Early Care and Education
Electronic Media Technology - AAS
Electronic Media Technology (Certificate) - PB
English Literature - AA
Environmental Studies - AS
Exercise Science - AA
Exploratory (Undecided) - (blank)/AX
Health and Allied Health Tech
History - AA
Information Technology - AAB
Interactive Web Multimedia(Certificate) - CERT 1
Liberal Arts - AA
Media Criticism & Journalism(Certificate) - CERT 2
Medical Assisting Services – Medical Assisting
Medical Assisting Services – Medical Billing
Medical Billing(Certificate)
Nursing
Pending Veterinary Technology - (blank)/AX
Pre-Advanced Medical Imaging Technology - AS
Pre-Business Administration - AA
Pre-Communication Sciences & Disorders
Pre-Criminal Justice - AA
Pre-Early Childhood Education - AS
Pre-Engineering - AX
Pre-Health and Exercise Science - AA
Pre-Health Education
Pre-Health Professions-Dental Hygiene interest - AX
Pre-Health Professions-EFDA interest - AX
Pre-Health Professions-Nursing interest - AX
Pre-Health Professions-Radiologic Technology interest - AX
Pre-Health Sciences
Pre-Health Sciences-Exercise and Movement - AS
Pre-Health Sciences-Physiologic Sciences - AS
Pre-Health Sciences-Pre_Occupational Therapy - AS
Pre-Health Sciences-Pre-Athletic Training - AS
Pre-Health Sciences-Pre-Medicine - AS
Pre-Health Sciences-Pre-Physical Therapy - AS
Pre-Health Sciences-Pre-Physician Assistant - AS
Pre-Medical Laboratory Science - AS
Pre-Middle Childhood Education - Language Arts/Math - AS
Pre-Middle Childhood Education - Language Arts/Natural Sciences - AS
Pre-Middle Childhood Education - Language Arts/Social Studies - AS
Pre-Middle Childhood Education - Math/Natural Sciences - AS
Pre-Middle Childhood Education - Social Studies/Math - AS
Pre-Middle Childhood Education - Social Studies/Natural Sciences - AS
Pre-Mortuary Science - AS
Pre-Neuroscience - AS
Pre-Organizational Leadership - AA
Pre-Pharmacy - (blank)/AX
Pre-Secondary Education - Chemistry - AS
Pre-Secondary Education - Language -Arts(Non-degree Transition Programs) (blank)/AX
Pre-Secondary Education - Life Sciences - AS
Pre-Secondary Education - Math(Non-degree Transition Programs) - (blank)/AX
Pre-Secondary Education - Social Studies/History - AS
Pre-Social Work - AA
Pre-Special Education(Non-degree Transition Programs) - (blank)/AX
Pre-Speech Language Hearing Sciences - AS
Pre-Sport Administration - AA
Psychology - AA
Public Health - AS
Veterinary Technology
Requested New Certificate
*
Please select program
Accounting (Certificate) - PB
Animation (Certificate) - CERT 1
Applied Media Communications (Certificate) - PB
Deaf Studies (Certificate) - PB
Electronic Media Technology (Certificate) - PB
Expanded Function Dental Auxiliary (certificate) CERT 1
Interactive Web Multimedia (Certificate) - CERT 1
Media Criticism & Journalism (Certificate) - CERT 2
Medical Assisting (Certificate) - MA-C2
Why is the student interested in changing or adding a certificate?:
*
Please describe your reasoning for a changing or adding a certificate.
Is the student currently enrolled in a certificate?
*
Yes
No
If yes:
*
Student is wanting to add a second certificate
Student wishes to close current certificate and add new certificate
If no:
*
Student is wanting to add a cert to their current major
Student wishes to close major and only add cert
Academic Reason for a Major and a Certificate or 2 Certificates
*
Please select reason
I plan to graduate with both.
My transition program is not available.
Closing current major and changing to new certificate.
Other
Transition Program:
*
If Other, Explain:
*
This should indicate your reason for adding a second major
Academic Advisor Approving the Change of Program
*
Please select advisor
Meghan Ariss
Shari Barksdale
Stacey Benton
William Boyle
Danielle Colbert
Amber Crumley
Melissa Detro
Heather Ferris
Julia Gill
Chris Gulgas
Kevin Kingman
Jennifer Kroger-DeMichael
Laurie Malone
Travis McCain
Javan Mitchell
Elizabeth McLean
Samantha Nazarovech
Amanda Purnell
Michael Roman
Tiffany Roman
Mary Kaye Scaramucci
Tom Stringfield
Christy Swanson
Nicole Trimble
Tom West
Catherine Willoughby
Abbey Wulf
This should be an Academic Advisor who advises in the new program.
Comment/Questions
Advisor Confirmation
I confirm the student requested this certificate change.
I confirm I have noted the student file of this program change conversation.
Advisor E-mail
*
example@example.com
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Requested Action
What are you attempting to do?
*
I wish to CLOSE my current certificate
I wish to CLOSE my associate degree and KEEP my certicate open
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Information for Dropping Current Associate Degree
Current Associate Degree to be CLOSED
*
Please select program
My current major is NOT at UCBA but is at Clifton/Clermont
Accounting (Certificate) - PB
Animation(Certificate) - CERT 1
Applied Administration (BTAS)
Applied Graphic Communication - AAB
Applied Media Communication - AAS
Biological Sciences - AS
Business Management Technology – Business Management - AAB
Business Management Technology –
Deaf Studies (Certificate) - PB
Financial Services - AAB
Business Management Technology – Marketing - AAB
Business Management Technology – Real Estate
Business Management Technology –Accounting - AAB
Chemistry - AA
Chemistry - ACS
Communication - AA
Dental Hygiene Technology
Early Care and Education
Electronic Media Technology - AAS
Electronic Media Technology (Certificate) - PB
English Literature - AA
Environmental Studies - AS
Exercise Science - AA
Exploratory (Undecided)
Health and Allied Health Tech
History - AA
Information Technology - AAB
Interactive Web Multimedia(Certificate) - CERT 1
Liberal Arts - AA
Media Criticism & Journalism(Certificate) - CERT 2
Medical Assisting Services – Medical Assisting
Medical Assisting Services – Medical Billing
Medical Billing(Certificate)
Nursing
Pending Veterinary Technology - (blank)/AX
Pre-Advanced Medical Imaging Technology - AS
Pre-Business Administration - AA
Pre-Communication Sciences & Disorders
Pre-Criminal Justice - AA
Pre-Early Childhood Education - AS
Pre-Engineering - AX
Pre-Health and Exercise Science - AA
Pre-Health Education
Pre-Health Professions-Dental Hygiene interest - AX
Pre-Health Professions-EFDA interest - AX
Pre-Health Professions-Medical Assisting interest - AX
Pre-Health Professions-Nursing interest - AX
Pre-Health Professions-Radiologic Technology interest - AX
Pre-Health Sciences
Pre-Health Sciences-Exercise and Movement - AS
Pre-Health Sciences-Physiologic Sciences - AS
Pre-Health Sciences-Pre_Occupational Therapy - AS
Pre-Health Sciences-Pre-Athletic Training - AS
Pre-Health Sciences-Pre-Medicine - AS
Pre-Health Sciences-Pre-Physical Therapy - AS
Pre-Health Sciences-Pre-Physician Assistant - AS
Pre-LPN to RN *LPN required to apply(Non-degree Transition Programs) - (blank)/AX
Pre-Medical Laboratory Science - AS
Pre-Middle Childhood Education - Language Arts/Math - AS
Pre-Middle Childhood Education - Language Arts/Natural Sciences - AS
Pre-Middle Childhood Education - Language Arts/Social Studies - AS
Pre-Middle Childhood Education - Math/Natural Sciences - AS
Pre-Middle Childhood Education - Social Studies/Math - AS
Pre-Middle Childhood Education - Social Studies/Natural Sciences - AS
Pre-Mortuary Science - AS
Pre-Neuroscience - AS
Pre-Organizational Leadership - AA
Pre-Pharmacy - (blank)/AX
Pre-Secondary Education - Chemistry - AS
Pre-Secondary Education - Language -Arts(Non-degree Transition Programs) (blank)/AX
Pre-Secondary Education - Life Sciences - AS
Pre-Secondary Education - Math(Non-degree Transition Programs) - (blank)/AX
Pre-Secondary Education - Social Studies/History - AS
Pre-Social Work - AA
Pre-Special Education(Non-degree Transition Programs) - (blank)/AX
Pre-Speech Language Hearing Sciences - AS
Pre-Sport Administration - AA
Psychology - AA
Public Health - AS
Radiologic Technology
Veterinary Technology
This is the major that the student wishes to close.
Requested New Certificate
*
Please select program
Accounting (Certificate) - PB
Animation (Certificate) - CERT 1
Applied Media Communications (Certificate) - PB
Deaf Studies (Certificate) - PB
Electronic Media Technology (Certificate) - PB
Expanded Function Dental Auxiliary (certificate) CERT 1
Interactive Web Multimedia (Certificate) - CERT 1
Media Criticism & Journalism (Certificate) - CERT 2
Medical Assisting (Certificate) - MA-C2
This is the certificate that the student wishes to add.
Back
Next
Information for Dropping Current Certificate
Requested Certificate to Close
*
Please select program
Accounting (Certificate) - PB
Animation (Certificate) - CERT 1
Applied Media Communications (Certificate) - PB
Deaf Studies (Certificate) - PB
Electronic Media Technology (Certificate) - PB
Expanded Function Dental Auxiliary (certificate) CERT 1
Interactive Web Multimedia (Certificate) - CERT 1
Media Criticism & Journalism (Certificate) - CERT 2
Medical Assisting (Certificate) - MA-C2
This is the certificate that the student wishes to close.
Back
Next
Information About Semester
Requested New Certificate
*
Please select program
Accounting (Certificate) - PB
Animation (Certificate) - CERT 1
Applied Media Communications (Certificate) - PB
Deaf Studies (Certificate) - PB
Electronic Media Technology (Certificate) - PB
Expanded Function Dental Auxiliary (certificate) CERT 1
Interactive Web Multimedia (Certificate) - CERT 1
Media Criticism & Journalism (Certificate) - CERT 2
Medical Assisting (Certificate) - MA-C2
This is the certificate that the student wishes to add.
Information About Semester
What semester should this change take place?
*
Please Select
Spring 2025
Fall 2025
Spring 2026
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Advisor Approval
What is the name of the Advisor approving this change?
*
First Name
Last Name
What is the email of the Advisor approving this change?
*
example@example.com
By signing below, the Advisor confirms they have documented record of the student requesting the change in My Bearcat Network.
*
Is there any additional information that is needed for this change to take place?
Submit Certificate Change Request
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