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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

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:

Engineering:

Business Management Communications
Microcomputer Office    
     

Health:

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

Business:

Health:

Basic Business--MCI Medical Billing and Coding - MEDINC
Basic Business--NCCI    
Business Administration--MCI    
Business Administration--NCCI    
       

Engineering:

 
CAD Specialist    
Mechatronics I    
Mechatronics II    
       
  Other - Please Specify:
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 Quarter/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 quarter/yr.
1467 Mount Vernon Avenue
Marion, OH 43302-5694
740.389.4636 Fax 740.389.6136
laveryj@mtc.edu
 

 

                     

Contact Us:

1467 Mount Vernon Ave.
Marion, Ohio 43302
740.389.4636
enroll@mtc.edu