GIS Online Certificate Application

To apply, please answer the following questions to the best of your ability.
Upon completion, a confirmation will be sent to the email address you've specified within the form.

* Required. Please ensure you complete the entire form before submitting.


Applicant Information
   
*First Name :
*Middle Initial:
*Last Name:
*Last 4 SSN:
*Email Address:
*Telephone Number:
(8501234567)
*Mailing Address:
*City/Town/Locality:
*State - input "Other" if out of country:
Other:
If you selected "other" in the previous question, please input information here
*Zip Code:
*Country:
UWF Online GIS Certificate Program Questions
*How did you learn about the Online GIS Certificate Program?:









Program Prerequisites
The following questions reflect program requirements described within the Learning Environment, Software, and Requirements sections

Make sure you are prepared to pursue this program before agreeing to the following statements.
If you have questions or concerns, please contact us at gisonline@uwf.edu
or 850-857-6121 before you submit an application
.







Your Background
The following questions are asked to learn more about your academic background and skill set coming in to the Online GIS Certificate Program.
   
*Current Employer:
*Years/Months with current employer:
*Is employer paying for certification?
Job Description:
*Do you utilize GIS at your employment?
Utilizing GIS at work is absolutely NOT required. We simply want to learn more about your background and interests
*How long have you utilized GIS software?
Again, we don't require previous exposure to GIS software.
If the options do not apply to you, please choose NA.
*Brief description of GIS software exposure or use.
Include specific software program and version number. Example: ArcGIS Desktop 10
*I have obtained or am currently enrolled in:
If the options do not apply to you, please choose NA.
Degree, Anticipated Degree, or Other:
Institution
Year of Graduation or Anticipated Date
GPA or Current GPA
*List of GIS related Courses:
Please list any GIS related courses you have taken for university/college credit. If this does not apply, Please type in NA
*Please list any computer courses you have taken for university/college credit:
If this does not apply, please type in NA
*List of educational accomplishments:
Please list any accomplishments you would like to have considered for your application: ESRI instructor led courses, GIS tutorials, GIS short courses or similar.
Statement of Purpose
A letter of interest, background, and goals
Please visit the How To Apply Page for guidelines and form template.  
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