Cannabis Healthcare and Medicine Certificate

Registration

IMPORTANT: The information below pertains to the student. If you are registering on behalf of the student, please include the student’s information below.

Student First Name

Student Last Name

Student Phone number

Student Email

Student Address 1

Student Address 2

Student City

Student State

Student Zip

Intended Start Date

Student Date of birth

Student Alternate Name

Student Gender

It is a standard policy that Syracuse University asks the following question. Your disclosure will not necessarily affect your enrollment in any noncredit programs.

Have you ever been convicted or found guilty of a felony or misdemeanor crime, or expelled for disciplinary reasons from a prior educational institution/school?

Yes No

If you answered “yes” to the previous question, please provide the dates and the nature of the occurrence(s) to ucinfo@uc.syr.edu. Your disclosure will not necessarily affect your enrollment.

Submit

*You MUST be 18 years or older to enroll in any of our cannabis certificate programs. By submitting this form you acknowledge you have read and agree to the program policies.

Program