Certificate Approved Program Instructions for Completing


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Division of Graduate Studies 1600 Holloway Avenue, ADM 250
San Francisco, CA 94132 Phone: 415/338-2234 [email protected] web: grad.sfsu.edu
Certificate Approved Program Instructions for Completing Certificate Approved Program
The form on page 3 must be typed. To apply for award of certificate, please submit the form to your certificate advisor and Department Chair for approval. Prepare a Certificate Approved Program (CAP) form (page 3) attach a copy of your unofficial transcript(s) indicating completion of all course requirements for the certificate program and obtain approval from the department chair offering the certificate program. The department chair is responsible for determining that all the requirements for the certificate have been satisfactorily completed. This is accomplished by signing the CAP form. You will need to pay a $7.00 processing fee at the Bursar’s Office through the Gateway- Student Center before submitting the form to the academic Department. After making an online payment; a receipt will be emailed from the Bursar’s Office to the student within 1-2 business days.
*Note that the Graduate Division is responsible for the final processing requirements for both undergraduate and graduate certificates. Graduation for Extended Learning certificates is processed through the Extended Learning Office.
Form begins on Page 3
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THECALIFORNIASTATEUNIVERSITY: Bakersfield,ChannelIslands,Chico,DominguezHills,EastBay,Fresno,Fullerton,Humboldt,LongBeach,LosAngeles, Maritime Academy, Monterey Bay, Northridge, Pomona, Sacramento, San Bernardino, San Diego, San Francisco, San Jose, San Luis Obispo, San Marcos, Sonoma, Stanislaus

APPLYING FOR AWARD OF THE CERTIFICATE

When all the requirements for either an undergraduate or graduate certificate program have been completed, the following steps must be taken to apply for the certificate:

1) The student prepares a Certificate Approved Program (CAP) form (see page 3) and forwards it, along with transcript(s) showing the completion of all course requirements, to the department chair of the area offering the certificate program.

2) The student pays the application fee ($7.00) for the award of the certificate with the Bursar’s Office. Payment can be made online; and a receipt will be emailed from the Bursar’s Office to the student within 1-2 business days.

3) The chair determines that all the requirements for the certificate have been satisfactorily completed and signs the Certificate Approved Program CAP form.

4) The chair submit the Certificate Approved Program CAP form to the Special Academic Programs Coordinator, Khaled Ezzat, at [email protected]

5) The Division of Graduate Studies reviews the materials received and authorizes the issuance of the undergraduate or graduate certificate on behalf of the department/program area and in the name of the university.
Basic University Graduate Certificate Program Requirements



Every student in a graduate certificate program must complete a minimum common core of

course work (i.e., required of all students) consisting of at least nine (9) semester units. See

specific program requirements.



At least one-half, but not less than six, of the units comprising a graduate certificate program

must be in graduate level courses. Any undergraduate level course utilized in the program must

be at the upper division level.



At least two-thirds of the course units for the certificate must be taken in residence. Units earned

through extension, including Open University enrollment, are not considered as work in

residence.



At least two-thirds of the required units for a certificate program must be graded on an A-F basis.



At least two thirds of the course units used to meet the requirements for the certificate must have

been taken while in post-baccalaureate status. Course work taken prior to acceptance in the

certificate program may not be used to meet program requirements, except in unusual

circumstances. Approval must be granted in advance.



The course work used to satisfy the requirements for a graduate certificate must be completed

with a minimum cumulative grade point average of 3.0 (B), and only courses completed with a

grade of C or better may be used to meet program requirements (i.e., C- grades and below are

unacceptable).



Before completing a graduate certificate program, all students must demonstrate an appropriate

level of writing competency as prescribed by the program area offering the certificate (see

program requirements).



Courses may be used to meet both a master's degree and a graduate certificate objective providing

they are appropriate and acceptable toward the specific requirements of each program.



All requirements for a graduate certificate program must be completed within a seven-year time

period, beginning with the date of registration for the first course used to meet the requirements

for the certificate.

San Francisco State University
CERTIFICATE APPROVED PROGRAM

Updated: 07/20 Date:
Name:
Last

Student ID No.
First

Official Certificate Title from Bulletin:

Middle

Clinical Laboratory Science Internship

Address:

Street

Department offering certificate: Physical Therapy

City

State

Zip

Email Address:

Phone Number:

Effective Term: ___________ Date: _____________
Graduate

All requirements must be completed within 7 years from the start of the term of the earliest course listed below

Dept. and

Course Title

Course No.

First Semester

CLS 701 Clinical Chemistry and Urinalysis

CLS 706 Contemporary Clinical Science Issues

CLS 731 Clinical Hematology

CLS 753 Clinical Microbiology

CLS 790 Clinical Serology & Immunohematology

Total

Subsequent 40 Weeks

CLS 702 Clinical Laboratory Internship I

( 4 units of CLS 702 taken twice)

CLS 705 Clinical Laboratory Internship II

( 3 units of CLS 705 taken twice)

CLS 702 Clinical Laboratory Internship I

CLS 705 Clinical Laboratory Internship II

CLS 709 Clinical Laboratory Internship III

CLS 707 CLS Bridge to Clinical Practice

Total for entire program

Units Required
4 2 4 4 4 18
4
3
4 3 3 3 38

Units

Term

Completed Registered

4 2 4 4 4

4
3
4 3 3 3

Institution (if transfer)

Grade

The student has demonstrated, in accordance with university policy, an appropriate level of writing competency in the

following manner (required):

Written examination prepared by program area

Other, specify:

Other requirements/Approved Substitutions (specify):

Program/Department Chair (required): Dean of Graduate Studies:

Type/Print Last Name

Signature

Date

Signature

Date
Please attach a proof For payment of fee

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Certificate Approved Program Instructions for Completing