FHSU: Completion of a Certificate

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Please respond to the questions below to indicate which certificate(s) you completed.

***NOTE: You must be a current Fort Hays State University (FHSU) student to complete a certificate. Please do not complete this form if you are not currently enrolled at FHSU.

What is your first and last name? *

What is your FHSU Student ID #? *

What is your FHSU email address? *

What is your major? *

Which certificate did you successfully complete? You may select more than one. *

Case Management Certificate (18 credit hours)

Foundations of Public Mental Health Certificate (12 credit hours)

Juvenile Justice and Youth Development (12 credit hours)

Criminal Psychology (12 credit hours)

Psychology of Effective Leadership (12 credit hours)

Required

What is your anticipated graduation date? For example, May 2026. *

Please list the full address where your certificate should be mailed to: *

By submitting this form, you agree to allow the department to check for successful completion of the certificate(s) listed above via Workday. *

I agree

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