Student - Caremark

Rio Salado College - Application for Certificate of Completion

Print your name as you want it to appear on the certificate:

Personal Information

Fields marked with * are required

First Name*

Last Name*

Mailing Address 1*

Apt./Unit

Mailing Address 2

City*

State*

ZIP*

Phone*

 - -
 

Check certificate you are applying for:
Airline Operations Human Services Long Term Care
Automobile Insurance Customer Service Insurance Customer Service
Corrections Technology (COTA)        Insurance Claims & Losses Customer Service
Credit Counseling Customer Service Law Enforcement Technology
Detention Services                    Pharmacy Benefits Management Cust Serv
Digital Telecommunications Cust Serv Public Safety Technology
Digital Telecommunications Cust Serv Public Administration Legal Service
Fire Science Telecommunications Customer Service
Human Services Assistance                   Utilities Customer Service
Human Services Specialist  

All certificates from the above list are provided for students who successfully complete all program requirements and submit this application.  THERE IS NO CHARGE FOR THESE CERTIFICATES. 
Please do NOT attach your computerized grade report or course checklist.  If you have any questions, please call (480) 517-8156.