This ONLINE form is to be used to register for professional certificate programs offered through the John S. Watson School of Public Service and Continuing Studies.

Please Note: If you are military personnel (active duty, reserve or National Guard), the spouse of military personnel or a civilian contractor working for a branch of the United States military, and/or utilizing military, corporate or governmental tuition assistance, you must use the printable version of this registration form.

General Information

First Name:*  MI:
Last Name:*  Date of Birth:
Street Address:*
City:*
State:*
Zip Code:*
Telephone:* Day Evening
Fax Number (if available):
E-mail Address:*
Highest Degree Earned:
Current Employer:
College ID#:
Social Security #:
   
How did you hear about this program?
College website
colleague or friend newspaper other:
Web search advertisement brochure

Certificate Registration

Select the certificate(s) for which you wish to register below.

  • Professional certificates do not contribute towards earning a degree.
  • Payment for professional certificate programs is nonrefundable.
  • Registrations received without complete information or total payment will not be processed.

Please note: In order to select multiple certificate programs, hold the 'Ctrl' key down while making your selections. To de-select a course hold down the 'Ctrl' key and click on the course you want to remove.

SHRM Learning System
SHRM Learning System Reduced Fee:
There is a reduced fee of $1,375 for Thomas Edison State College alumni, SHRM members, NJBIA members and MRCC members.

Teaching

Workshops for Social Workers and Mental Health Providers

Workforce Career Coach Facilitator

Counter-Terrorism Intelligence

Healthcare

Personal Fitness Training Program

Advanced Personal Fitness Training Program

Online Posture Specialist Certificate

Nutrition for Optimal Health, Wellness, and Sports

Family Nutrition

Functional Family Nutrition

School Nutrition and Wellness

Women's Exercise Training and Wellness

Fitness Business Management

Personal Training and Group Exercise Training for Older Adults

Business/Management/Entrepreneurship

Non-Profit Management

Building/Construction Management

Cyber-Security

Radiation Safety Officer

Shopping Cart
Course Code Title Cost
Total Cost:  

Checklist

Have you ever been a Thomas Edison State College student? Yes No

* I have read the course description and completed the online course demonstration (if available) for the certificate program I am registering for.

Federal, State & Institutional Reporting Data

As an Affirmative Action/Equal Opportunity Employment institution, Thomas Edison State College prohibits discrimination in its policies, practices and procedures. For federal and state compliance purposes, the College is required to submit statistical data on the composition of its student body in an aggregate manner. This information is collected for reporting purposes only; it is not used in admissions decisions.

Gender:  
Female Male  
Please indicate if you are: (select one)
Hispanic or Latino Not Hispanic or Latino  
Please specify your race/ethnicity from the following categories: (select one or more)
American Indian or Alaska Native Asian Black or African-American
Native Hawaiian or other Pacific Islander White  

Method of Payment:*

Credit Card Electronic Check


When paying by credit card or electronic check, you will be prompted for credit card/check information upon submitting this form.

Please note that payment must be confirmed for registration transaction to be completed.

Authorization

I hereby certify that the above statements are true and correct to the best of my knowledge. I authorize the release of completion information on the above certificate program(s) to my employer, if my employer is paying for the certificate(s). I verify that I understand and agree to abide by the complete policy on academic integrity and procedures for academic discipline of academic integrity violations as stated in the Thomas Edison State College Catalog. I understand and accept that professional certificates do not contribute towards earning a Thomas Edison State College degree and, therefore, are not credit bearing, and that payment for professional certificates is nonrefundable.

* Required fields