Portland State University

Request Certificate

Once you have completed the required courses for the Six Sigma Certificate programs, fill out this form to request your certificate. We will review your record and mail your certificate within two weeks.  Please be sure to include your email address so we can contact you for any clarification.

Certificate:

NAME (as you would like us to print it on your certificate):

ADDRESS (where you would like us to mail your certificate):

Street:
Company:
City: State: Zip:

 

DAYTIME PHONE # (in case we need to contact you):

EMAIL (in case we need to contact you):

Comments or special instructions
(Have you changed your name? Do you have a course waiver? etc.)