Thomas Edison State University     



Certificate Graduation Request Form

PLEASE READ before completing this form:

If you have completed the Online Request for Graduation for one of the degrees listed on your record and made the graduation audit fee payment, please complete the Certificate Graduation Request at is no fee for this addition as long as both the certificate and the degree are complete and certified for the same graduation date and payment was made. By selecting this option you are certifying that the above statement is true.

If you are not graduating with a degree at this time, you are required to complete the form below and submit the certificate graduation audit request fee. If you are applying for multiple certificates in this graduation cycle, please complete the below form, for the first certificate, and access to apply for all other certificates at no additional fee.

Important note: If you are not a currently enrolled student, you must go through the Inactive Student graduation process first:

* Required Fields

University ID*: Re-enter University ID*:
E-mail Address*:
Please indicate your full name as it should appear on your Certificate. If this is a name change from what is in our official records, you must provide a notarized copy of your marriage license, divorce decree or verification of legal name change.
First*: Middle: Last*: Suffix:

Select the appropriate Certificate below (limited to one selection):
Undergraduate Certificates
Graduate Certificates

Certificate Audit Fee Amount:  
$105.00 (This fee is a nonrefundable fee.)

PLEASE READ and agree to the following terms and conditions:*

Credit and debit card payments are handled through a third party payment processor. A non-refundable convenience fee of 2.95 percent (with a minimum charge of $3.00) will be added to your total charges for this processor. The University does not receive any portion of convenience fee payments.

To avoid convenience fees you can pay via electronic check/ACH payment. Electronic check/ACH payments require your bank routing and account numbers. The routing number and checking account number can be found on the bottom of your personal check.

I have read and agree to the above terms and conditions.

Method of Payment:

Credit/Debit Card Electronic Check (ACH)

When paying by credit card or electronic check, you will be prompted for credit card/check information upon submitting this form.

Please note that payment must be confirmed for transaction to be completed.