DGAC Certificate Request Form

Read This First!
Please do not fill out this form if your class ended less than one month ago. Depending on mail delivery times and processing times, it can take up to four weeks for you to receive your certificate. Thank you.



	HOME > TRAINING SCHEDULES > CERTIFICATE REQUEST FORM


	CERTIFICATE REQUEST FORM

To receive a copy of your certificate, fill out the form below.

Basic Information

Your Name:

Phone Number:

Email Address:

Company Name:

How would you like us to send your certificate?
You may check both options, if desired.

Please fax my certificate to

Please mail my certificate to

Course Information

Which course did you attend?

Where did the course take place?

Please enter the date of the course:

All classes consist of lecture, work projects, question & answer sessions, and testing. Participants must attend all classroom sessions to receive a certificate. Students who arrive late and/or depart early will not be eligible for a certificate.
Please Note: There are two different types of certificates that you may receive upon completion of the course, and you will only receive one of these. If you completed all tests and quizzes with an average score of 85 percent or better, you will receive a certificate that states "Successful Completion" of the course. If your average score was below 85 percent, you will receive a certificate of attendance.

I have read and understand the statement above. Yes No

Members Log-in:	Board of Directors \| Board of Directors Minutes \| NARLA Committee \| INTEREC Committee \| Program Committee Membership Committee \| Education and Training Committee \| Membership Database \| Docket Board \| FRES Online
Information & Resources:	Vendor of Products and Services \| FAQ’s \| Security Talking Points \| Comments to Regulatory Bodies Glossary of International Acroynyms \| News Archive \| Calendar of Events \| Job Opportunities
Training:	About Our Instructors \| Ground Transportation \| Multi-Modal Transportation \| Air Transportation Water Transportation \| Specialty Classes \| Courses By Location \| In-House Training \| Certificate Request
Membership:	10 Reasons to Join DGAC \| Join DGAC \| Membership Listing
About DGAC:	The History \| DGAC Staff \| E-mail DGAC
Conferences & Workshops:	Conference Presentations
Site Map

This site was updated August 16, 2006, by Lisa M. Keyser. Although we attempt to keep this information up to
date, we cannot guarantee the accuracy of the information provided.

Click here to view our Privacy Policy