Health & Medical Certificate Request Form

EAS Health & Medical Graduates:

Please fill out this form to request your program completion certificate OR your externship completion certificate. (If you need both, fill out the form again)

 

Please note this is only a request and does not guarantee a certificate rendered.

 

Once you make your request your invoice status and attendance record will be checked to verify all tuition has been paid in full and the class attendance and performance requirements met. Or, if requesting an externship certificate we will need to verify your completed and signed externship documents.

 

If you have not met these requirements, your certificate request will be denied.

 

If you have paid your tuition in full and met the course/externship requirements, you should receive your certificate and competencies (if applicable) within 10-14 business days. If you do not receive your certificate within 10-14 business days, you can email [email protected] for assistance.

 

All information must be completed accurately. Please carefully consider the name or names you want on your certificate. Most employers will not accept certificates with a name/s different from the name/s listed on your state or federal ID's.

 

Please make sure to input your email correctly. Your certificate and your competencies will be emailed to the email address you provide.

 

Students are entitled to one digital certificate and competencies file. Once received, you can make as many copies as needed but, you may not alter the documents issued in any way. Please download and keep your files in a safe location. We will not issue another certificate due to loss or deletion of file.

 

You will be given the option to receive a digital or printed certificate. There is a $10.00 fee for printed certificates and they must be picked up and paid for in person from our EAS Adult School campus office. 220 W. Crest St. Escondido 92025.

 

We will not issue you another certificate if you fill out this form incorrectly.