CERTIFICATE in ENGINEERING DESIGN

Registration and Completion Form

 

_____________________________ ______________        _________________

Name (Last) (First)                                                PSU ID                  Major

 

___________________________________ __________________   ____________________

Local address                                                          E-mail                                    Phone

 

Planned date of graduation: ____________

 

Date of Registration__________________                    Semester standing at registration________

 

PLAN FOR MEETING CERTIFICATE REQUIREMENTS

Plan Approved by ________________________________________  Date  ________________________

Richard Devon, Engineering Design Program, 213J Hammond Bldg, University Park, PA 16802
814-865-3163, Secr. 865-2952, FAX 863-7229, rdevon@psu.edu