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Marion Technical College Petition for Receiving A Certificate

Graduating Year:  

Graduating Term:

Student ID Number: (PowerCAMPUS - required)

Telephone Number:

Name: (As you want it to appear on your certificate!)


First Name


Middle Name


Last Name


Street Address


City


State


Zip code

 
County

Check here if this is a new address

I AM PETITIONING TO RECEIVE THE FOLLOWING 1 YEAR CERTIFICATE.
(Please check the box next to your certificate program.)

Business:

Business Management
Office Information
 

Health:

Medical Assisting
Medical Billing and Coding
   
I AM PETITIONING TO RECEIVE THE FOLLOWING SKILL BUILDING CERTIFICATE.
(Please check the box next to your certificate program.)

Business:

Basic Business--MCI
Basic Business--NCCI
Business Administration--MCI
Business Administration--NCCI

Engineering:

CAD/CAM
Mechatronics I
Mechatronics II

I hereby petition to receive a certificate from Marion Technical College.
I have completed all the above information, have met with my advisor
and know I will meet all requirements for graduation at the end of
the listed Term/Year above.


Signature (Type your name)

Date (MM/DD/YYYY)

Any questions direct them to the Office of Student Records email at the email address listed below. Petitions must be completed prior to the end of the graduating term/yr.

1467 Mount Vernon Avenue
Marion, OH 43302-5694
740.389.4636 Fax 740.389.6136
laveryj@mtc.edu

 

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Contact us

Marion Technical College
1467 Mt. Vernon Ave.
Marion, Oh. 43302

740.389.4636
enroll@mtc.edu

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