Academic Standing for WSDS

Academic Standing
Date

MonthDayYear
Date
Applicant's Name

First NameLast Name
This is to certify the applicant is a full-time student in our department and is in good academic standing and is not on academic probation or facing any disciplinary actions.

This certificate is issued upon the student’s request for the purpose of ASA BIOP WSDS Conference Scholarship application.
Authorized Signature
Name

First NameLast Name
Title
Contact Email
example@example.com
Should be Empty: