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Certificate IV Program Application

Please read all of the information about the certificate iv program before filling out this application form.

Click HERE to be directed to the Certificate IV Program information page.

Please use this form to apply for the Sheridan Teaching Consultants: Certificate IV Program. You will receive a text-version of the application form. Please check it to confirm that your information was correctly entered. If you encounter errors please email the Center.

First Name (required)

Last Name (required)

Department (required)

Status (required)

 Graduate Student Post Doc
Box #: (required)
Phone #:(required)
E-mail address: (required)

Please indicate below which of the Sheridan Center’s Certificate Programs you have completed. (required)

STS - Certificate I
Classroom Tools - Certificate II
PDS - Certificate III

Have you been a Teaching Consultant for the Sheridan Center? If so, please list the years you have been a TC.

Please describe your goals for enrolling in this Program, including what you hope to learn, and in what ways you think you might be able to contribute to the Teaching Consultant Community. (required)

I have read and understood the description of and requirements for the Certificate IV Program, as described on the Center’s website, and understand that the requirements must be completed within one academic year to receive the Certificate. (required)

Yes