Please complete all of the information below. To be eligible for a Certificate, students must have earned a passing grade (“P”) in all required courses. You should submit this form during the semester in which you will complete your final coursework. If you have any questions or need help with your application, please contact the Purchase College, SUNY School of Liberal Studies & Continuing Education, (914) 251-6500. Upon verification of course information, your certificate will be mailed within 4-6 weeks of receipt of this form at the address on this application.

All fields marked with asterisk (*) are required.

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Course number, course title, completion date, grade (P/F)
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I submitted an Interior Design Certificate Program Form of Intent (required).*
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I completed a Professional Certificate Program Evaluation (required).*
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I have satisfactorily completed or will complete by the end of the current semester all of the required coursework for the Interior Design Certificate Program.*