Certificate Program Forms
Below are links to applications and forms that you might need when applying to and completing a certificate program.
Complete the forms on your computer, print them out and return them in person, by mail or by fax to:
UC Davis ExtensionStudent Services
1333 Research Park Dr.
Davis, CA 95618
Phone: (530) 757-8777
Fax: (530) 757-8558
Certificate Program Application
(93 KB)
College Admissions Counseling and Career Planning Certificate Program Application
(75 KB)
Specialized Studies Program Application
(91 KB)
Customized Certificate Program Application and Proposed Course of Study Form
(162 KB)
Reading Certificate Program Application for K-12 teachers
(120 KB)
Reading Certificate Program Application for community college instructors
(78 KB)
Notice of Completion
(96 KB)
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