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Interior Design Certificate Program Form of Intent
Adult Noncredit Programs
Interior Design Certificate Program Form of Intent
Thank you for your interest in the Interior Design Certificate Program at Purchase College, State University of New York. Please enter the following information:
All fields marked with asterisk (*) are required.
first_last_name
required text field
First, Last Name:
*
what_is_your_gross_household_i
select menu field
What is your gross household income?
less than $75,000.00
$75,000 - $99,999.00
$100,000.00 - $149,999.00
$150,000 and above
what_is_your_highest_level_of
required select menu field
What is your highest level of education:
*
High School diploma
Associates degree
Undergraduate degree
Graduate degree
home_address_addr_city_state_z
required text field
Home Address: (Addr, City, State, Zip)
*
email_address
required e-mail address field
Email Address:
*
telephone_number
required text field
Telephone Number
*
mobile_telephone_number
required text field
Mobile Telephone Number
*
employer_title_department
required textarea field
Employer, Title, Department
*
business_address_addr_city_sta
required text field
Business Address: (Addr, City, State, Zip)
*
business_telephone_number
required text field
Business Telephone Number:
*
how_did_you_learn_about_the_in
required select menu field
How did you learn about the Interior Design Certificate Program? (Check all that apply)
*
Brochure/Postcard
Letter in the Mail
SUNY Website
Internet Search
Antique in the Arts Weeks
Arts News
Community Answers: Summer Resources Guide
Family/Friend
The Harrison Report
The New Rochelle Sound Report
The Town Report
The Rye Sound Shore Report
Westchester Family Magazine
Westchester Parent Magazine
What to do: Summer Guide
Other
if_you_answered_quototherquot
text field
If you answered “other” to the question above, please specify.
how_do_you_think_the_interior
required textarea field
How do you think the Interior Design Certificate Program will help you to attain your professional goals?
*
i_understand_the_interior_desi
required checkbox field
I understand the Interior Design Certificate Program requirements and plan to pursue the Certificate.
*
Yes
No
Link (required)
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