Behavioral Health micro-credential application

Family and Human Services

Application dates

The application for Winter term will open on Wednesday, September 16.

Application deadline is Monday October 12 at 11:59pm.
Admissions decisions will be sent via email by October 19.

This application is for admission to the Foundations in Behavioral Health micro-credential program ��ֱ��. Before beginning this application, complete the PCC admission application.

To complete this application, you’ll need the following:

An application letter/letter of interest
Your student ID/G number (if you’re a brand new PCC student, you’ll have this once admitted to PCC)
Your PCC email address (if you’re a brand new PCC student, you’ll have this once admitted to PCC)

Be sure to fully complete all sections of the application. All communication will be sent to your PCC email address (if applicable).

"*" indicates required fields

Have you applied to PCC?*

Yes

Please apply to PCC before completing this application.

Student information

Full name*

PCC ID/G number*

Phone*

PCC email*

Alternate email

Address*

Street address Address line 2 City State Zip code

This field is hidden when viewing the form

How did you hear about the micro-credential?*

Race and ethnicity questions

Please identify the cultural and/or ethnic ancestral lineage(s) you identify with.*

(check all that apply)

African American, African (Diasporal)

Native American (Indigenous) or Alaska Native

Asian

Caucasian

Hispanic or Latin-X

Pacific Islander

Middle Eastern

Other

Please indicate any other identities you identify with.*

(check all the apply)

LGBQT+

Veteran

Other

Not applicable

What is the highest level of education you have achieved?*

(does not need to be in the United States)

Did not complete high school or GED

High school diploma or GED

College certificate

Associate's degree

Bachelor's degree

Master's degree or higher

Are you a first generation college student?*

(neither parents or legal guardians have completed a four year degree)

Yes

Are you aware of any student account or academic holds that may need to be resolved before course registration?*

(Please note, account issues in no way disqualifies a student from being considered or admitted into the program.)

Yes

Are you currently receiving any grant, scholarship, or financial aid to support your education?*

Yes

In order for your application to be considered, please submit a letter of application. Prompts are below.*

Your interest in the Behavioral Health Micro-Credential
Your career goals
We would love to know about you! So if you are comfortable, please share in your letter a little bit about your background, your life experiences, and how this will serve other people in the human services and/or behavioral health fields?

Please limit your letter to one full page, maximum of 5 paragraphs or under 600 words.

Accepted file types: pdf, Max. file size: 20 MB.

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