Interior Design Certificate Program Form of Intent

Thank you for your interest in the Interior Design Certificate Program at SUNY Purchase. Please enter the following information:

All fields marked with asterisk (*) are required.

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First, Last Name:*

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What is your gross household income?

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What is your highest level of education:*

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Home Address: (Addr, City, State, Zip)*

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Email Address:*

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Telephone Number*

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Mobile Telephone Number*

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Employer, Title, Department*

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Business Address: (Addr, City, State, Zip)*

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Business Telephone Number:*

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How did you learn about the Interior Design Certificate Program? (Check all that apply)*

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If you answered “other” to the question above, please specify.

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How do you think the Interior Design Certificate Program will help you to attain your professional goals?*

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I understand the Interior Design Certificate Program requirements and plan to pursue the Certificate.*

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