University Teaching Center, University of Arizona


		Certificate in College Teaching Program

Certificate in College Teaching Request Form

Please fill the form and submit it using the submit button at the bottom of the page. Your request for your certificate will be sent to the University Teaching Center.

If you have any questions, please contact the University Teaching Center at 621-7788.

Once you have been approved for registration you will receive an email.

Name: (as you would like it to appear on your certificate)

SID#:

Today's Date:

Email:

Phone number:

Current address:

Please select the course(s) you have completed:

Category A: Foundational College-level teaching courses
(No course substitions allowed.)

Term:

Category B: Professional development courses
On occasion, additional courses may be approved by the UTC for Category B*

Term:

Category C: Supervised College Level Teaching
No course substitions allowed.

Term:

Faculty who supervised your college teaching (GRAD 694A):

Other pre-approved course(s) :

Please select if would like to pick up your certificate. Otherwise, enter the delivery address below.

Delivery address:

When you click the submit button, your report will be emailed directly to the UTC.