Certificate Application Creation Form

Certificate Program

Master's Certificate Program

Entry Term

Fall-1: Applications due July 29th. Classes start August 27th.
Fall-2: Applications due September 30th. Classes start October 28th.

The Jewish Professional Leadership Certificate is only accepting applications for the fall-2 start. Please select fall-2 as the entry term to continue.

Biographical Information

First Name

Middle Name

Last Name

Email Address

Birthdate

Mailing Address

Country

Street

City

Region

Postal Code

For purposes of this question, legal sex is defined as the current marker on your government identification documents. This includes things like your birth certificate, passport, state ID, or driver's license.

Legal Sex

We understand that gender identity can be expressed in a variety of ways. Should you wish to elaborate on your response in the above Biographical Information section, you are invited to respond to the following optional question concerning gender identity. Your response will not affect your enrollment.

Gender Identity

Citizenship

Permanent Resident of US

Yes

No

Social Security Number

Please carefully review the following statement and click the checkbox to state that you understand the statement.

For those students who are not U.S. Citizens or U.S. Lawful Permanent Residents (Green Card holders): Please be advised that the Division of Graduate Professional Studies, in the Rabb School of Continuing Studies, is unable to issue F-1, M-1, or J-1 non-immigrant student visas for its part-time graduate programs, in accordance with U.S. immigration regulations.

Individuals who hold visa statuses in the U.S. that also allow for pursuit of study (such as H-1B1, R-1, L-1, Trade NAFTA), may pursue coursework at the Rabb School provided they fulfill the terms, and maintain the validity, of this status while studying at the Rabb School. If a student is currently in the U.S. pursuing full-time study at another college or university, and holds an F-1, M-1, or J-1 student visa from that institution, s/he is advised to contact the Designated School Official/Responsible Officer at the sponsoring institution to obtain authorization to pursue study at the Rabb School, while simultaneously maintaining full-time student visa status at the original, visa-sponsoring institution.

I understand the above written statement.

Employer Information

Current Employer

Partners HealthCare Affiliation

Current Employer - Other

Upload your current resume

Academic History

I have completed a four-year bachelor's degree from a regionally accredited U.S. institution or equivalent.

Yes

No

School 1 Name

School 1 Ceeb Code (hidden):