Miami University Microcredential Application

Please complete this if you are interested in pursuing a Microcredential at Miami University Regionals and are NOT a current Miami Student.

If you are currently a Miami student or have other questions regarding Microcredentials, please contact our Miami Online team anytime (Microcredential@MiamiOH.edu).

Student Information

Are you a current Miami University student? If yes, please email Microcredential@MiamiOH.edu instead of completing this form.

No

Yes

(Hidden: add opt out tag if Miami Student)

Set

Unset

Have you ever taken a course at Miami University before? (Including: Oxford, Hamilton, Middletown, Online?)

First name

Last name

Preferred First name

Legal Sex

Birthdate

Contact Information

Student email address

Mobile Phone

Permanent Address

Country

Street

City

Region

Postal Code

Mailing address is the same as permanent address

Mailing Address

Country

Street

City

Region

Postal Code

Are you a U.S. Citizen?

Are you a Permanent Resident?

Are you currently an Ohio Resident?

How many years have you lived in Ohio?

Have you lived in Ohio for the preceding 12 consecutive months?

Academic Information

Campus Choice

Microcredential Program

When do you want to start taking classes? (Entry Term)

Would you like to receive text communication?

Yes

No

Please Upload an unofficial copy of your College Transcript(s)
If you cannot provide a college transcript - please request an official copy of your final high school transcript be sent to Miami Regionals.

Personal Information

Have you ever been found responsible for a disciplinary violation at any educational institution you have attended from the 9th grade (or the international equivalent) forward, whether related to academic misconduct or behavioral misconduct, that resulted in a disciplinary action? These actions could include, but are not limited to: probation, suspension, removal, dismissal, or expulsion from the institution.

Please give the approximate date(s) of each incident, explain the circumstances and reflect on what you learned from the experience. You may use up to 400 words.

Have you ever been adjudicated guilty or convicted of a misdemeanor or felony? Note that you are not required to answer "yes" to this question, or provide an explanation, if the criminal adjudication or conviction has been expunged, sealed, annulled, pardoned, destroyed, erased, impounded, or otherwise required by law or ordered by a court to be kept confidential.

Please give the approximate date(s) of your conviction or charge and explain the circumstances.

Have you ever pled guilty to or been convicted of a felony, or is any felony charge currently pending against you?

Please give the approximate date(s) of your conviction or charge and explain the circumstances.

I have read Miami University's Title IX/Sexual Misconduct Statement found here: https://www.miamioh.edu/campus-safety/sexual-assault/about/title-ix-statement/index.html

Yes

Signature and Review

By signing this, you are affirming the following:

I certify that all information submitted in the admission process-- including this application and any other supporting materials-- is my own work, factually true, and honestly presented, and that these documents will become the property of Miami University and will not be returned to me. I understand that I may be subject to a range of possible disciplinary actions, including admission revocation, expulsion, or revocation of course credit, grades, and degree should the information I have certified be false.

I acknowledge that I have reviewed the application instructions for Miami University.

In place of your signature, please type your full legal name:

As part of the University's commitment to maintaining a healthy and safe living, learning and working environment, we encourage you to read our Annual Security & Fire Safety Report http://miamioh.edu/campus-safety/annual-report/index.html which contains information about campus safety, crime statistics and our drug and alcohol abuse and prevention program designed to prevent the unlawful possession, use and distribution of drugs and alcohol on campus and at university events and activities. This report also contains information on programs and policies designed to prevent and address sexual violence, domestic violence, dating violence and stalking. Each year, email notification of this website is made to all faculty, staff, and enrolled students. Written notification is provided to prospective students and employees. Copies of the report may be obtained from University Police 513-529-2225.

Round Non-Degree (Hidden)

Non-degree

App Type Microcredentials (Hidden)

Microcredential

Create Round (Hidden)