Attestation Form for Programs that Prepare for Licensure/Certification

This form will be used to determine if Eastern’s program meets the licensure or certification requirements in the state where you plan to work after graduation. Please review this State Authorizations webpage to learn more about which programs prepare students for licensure/certification in which state.

Program You Applied For:

Attestation

The electronic signature below confirms that the information filled out above is true and accurate.

Electronic Signature