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Undergraduate Certificate Intent Form

  • Please complete if you plan to take classroom-based courses at any of our Commonwealth Campus locations.

    If you prefer to take online courses, please visit the Penn State World Campus website.

    NOTE: Please allow 1-2 weeks from the time this form is submitted to receive email notification of your next steps.

    Please contact Cody Hoffman at in the Penn State College of Nursing with any questions.

  • Intent forms are accepted on an ongoing basis. For planning purposes, this form and supporting materials should be submitted one month prior to your intended starting date.
  • Please select your campus location from where certificate program courses are currently offered. NOTE: course offerings can vary by campus location and semester. Not all certificate programs may be available at all campus locations. For World Campus, visit