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 after graduation, I plan to work in the state listed above and understand that the state listed will determine my eligibility for the program.

Electronic Signature