Applied AI Foundations: Working Productively with AI

Please Complete Application Below

Personal Background Information

Email Address

First Name

Middle Name

Last Name

Birthdate

Sex

Citizenship

Mobile Phone

Mailing Address

Country

Street

City

Region

Postal Code

Please upload a copy of your government issued Photo ID

Please upload a valid legal photo ID to complete the application.

Certifying Questions

Have you ever been convicted of a criminal offense other than a minor traffic violation?

No

Yes

Please explain your conviction:

Are there criminal charges pending against you at this time?

No

Yes

Please explain pending charges:

Have you been subject to disciplinary action by any institution?

No

Yes

Please explain disciplinary action:

Have you been dismissed, suspended, or placed on probation for academic reasons by any institution?

No

Yes

Please explain why you were dismissed, suspended, or placed on probation for academic reasons by an institution:

Non-discrimination Policy

Lenoir-Rhyne University does not discriminate on the basis of race, color, national origin, citizenship, religion, political affiliation, age, marital status, sex, physical or mental disability, genetic information, pregnancy, or veteran status in any educational programs and activities, including admissions. Lenoir-Rhyne’s policy of non-discrimination and equal opportunity extends to all aspects of employment, including, but not limited to, recruitment, hiring, training, promotion, transfer, reassignment, demotion, discipline, discharge, performance evaluation, compensation and benefits. Lenoir-Rhyne is committed to providing an environment that promotes non-discrimination, equal opportunity, and inclusion for faculty, staff, students, contractors, volunteers, and visitors.

Learn more about our policy of non-discrimination.

Acknowledgement & Signature

I certify that the information I have provided in this application is complete, accurate, and true to the best of my knowledge. I understand that any false or misleading information may result in the denial or revocation of my admission to the certificate program.

Yes

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

Payment

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Amount Due

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I understand that payment is required to enroll and is non-refundable.

Yes