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Completion Ceremony Form
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ATS Student/Guest
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Name
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Last
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Information for Completion Certificate
Select CASAT Program Certificate Type
(Required)
HDFS MS with Specialization in Addiction Treatment Services
Advanced Certificate in Addiction Treatment & Prevention Services
Addiction Treatment Services Minor
Undergraduate Certificate in Addiction Treatment Services
Peer Support in Behavioral Health Undergraduate Certificate
Select Completion Term
(Required)
Summer 2022
Fall 2022
Spring 2023
Student Information
Name
(Required)
As it is entered in MyNevada
First
Last
Preferred Name
If different than how it is entered in MyNevada
First
Last
Phone
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Email
(Required)
Your digital certificate will be sent to the email indicated, see your confirmation for further details.
Ceremony RSVP
Ceremony RSVP
(Required)
Yes, I will be attending
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Number of Guests Attending
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1 guest attending
2 guests attending
3 guests attending
4 guests attending
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Certification and License Disclosure by State
Advanced Certificate Program
HDFS Masters Specialization
Certification and License Disclosure by State
