Which certificate do you intend to pursue?
Bachelor’s degree is required in order to pursue this certificate. Please request that your official transcript, showing proof of degree earned, is sent directly to us.
Associate degree is required in order to pursue this certificate. Please request that your official transcript, showing proof of degree earned, is sent directly to us.
Minimum Associate Degree is required in order to pursue this certificate. Please request that your official transcript, showing proof of degree earned, be sent directly to us.
Minimum Bachelor’s Degree is required in order to pursue this certificate. Please request that your official transcript, showing proof of degree earned, be sent directly to us.
Minimum Master’s Degree is required in order to pursue this certificate. Please request that your official transcript, showing proof of degree earned, be sent directly to us.
Legal First Name
Middle Initial
Legal Last Name
Do you have any previous names?
Please list all previous names that may appear on a transcript.
SSN
Date of Birth
Street Address
Zip
City / Town
State
Country
Email
Phone
Have you served in the U.S. Military or are you a military spouse?
Select Military Branch
Select a Military Status
Citizenship
Please select your Gender
Please indicate how you identify yourself (choose one or more)
Highest Degree Earned
Are you currently employed?
Employer Name
Please specify employer and location
When you click “Apply Now”, you will be directed to CASHNet to submit the $50 non-refundable application fee. If you have a waiver code, please enter the code and click “Apply Now” to submit your application.
Waiver Code:
By submitting this form, I confirm that the information provided on this form is accurate and complete, and subject to the policies and procedures of Charter Oak State College and the Connecticut Board of Regents.