Apply Now!

Career Studies Program Customer Relations Certificate Application

Personal Information
Personal Address
XXX-XXX-XXXX
High School Information
XXX-XXX-XXXX
Supplemental Information
Documentation of Disability
You may submit these documents by mail.
Files must be less than 800 KB.
Allowed file types: rtf pdf doc docx.
Files must be less than 800 KB.
Allowed file types: gif jpg png rtf pdf doc docx.
Supporting Documents
You may submit these documents by mail.
Files must be less than 800 KB.
Allowed file types: rtf pdf doc docx.
Files must be less than 800 KB.
Allowed file types: gif jpg png rtf pdf doc docx.
Parent and Guardian Information
XXX-XXX-XXXX
Emergency Contact
Please complete the information below for your Emergency Contact.
XXX-XXX-XXXX
Service Provider Information
Student Centered Information
If you prefer to submit an audio or video response, please upload to YouTube and paste the link here,
or mail a physical copy of the response to: Penn State Harrisburg Career Studies Program, Dr. Linda Rhen, 777 W. Harrisburg Pike Middletown, PA 17057
Recommendations
Please provide the names and email addresses of three references who would be able to comment on your abilities and experiences in customer relations areas. They will be contacted directly via the email addresses you provide here, so please be accurate with this information.
First Reference
Second Reference
Third Reference
Application Agreement
I certify that the responses provided on my application are true and complete to the best of my knowledge. I understand my failure to provide complete, accurate, and truthful information on this application will be grounds to withdrawal my application, deny admission or dismiss me after enrollment. Further, it is my understanding that I shall not be considered for admission to the University until I have submitted all required information and supplemental documents. I also agree to inform Career Studies and Penn State Harrisburg in writing, of any change in my plans to attend the University, any change of address, or residency. I understand that if I do not enroll or discontinue my enrollment in the Career Studies program at Penn State Harrisburg at any time, I must submit a new application by the appropriate deadline and pay a new application fee (if applicable). Penn State Harrisburg and the Career Studies program is authorized to use my image (still or motion photography) in its promotional materials.
1 + 8 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.