SAS Certificate Application:
Must be completed before the end of the semester in which you take the second course of your certificate program.

Please provide the following information.

First Name: Last Name:

EMPLID (9-digit number): FSUID:

USPS Mailing address:

Student Status:

You must be an accepted FSU degree/non-degree seeking student to submit your application.

Certificate Type?

Introductory course taken? Introductory Course:

Plan of Study. Please indicate the three elective courses you plan to take by inserting the course numbers below in addition to the required STA 3024 or 5066 below. Also, indicate what semester and year you have completed these courses or plan to complete them.

Core Course: Term taken:

Elective Course 1: Term taken:

Elective Course 2: Term Taken:

Elective Course 3: Term Taken: