Certificate Request Form

Name

First

Middle

Last

How would you like your name to appear on the certificate?

This is how your name will appear on your Certificate. Please do not add descriptors or educational credentials.

Daytime Phone Number

Enter Email

Confirm email

Confirm Email

SCS Student Number

Please choose below how you would like to receive your certificate

If you choose to pick up, you will be contacted by email when ready.

By mail

Pickup at the School of Continuing Studies

1st floor, Registration desk
158 St. George Street.

Mailing Address

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country

Name of the certificate you have completed

Confirmation

I have verified the above information is accurate, and I understand that any incorrect information may delay the process of my certificate request.