Non-credit Application

Non-credit Application

Thank you for your interest in Millersville University. The following questions are required and are necessary for us to provide you with an admissions decision.

Program Information

Please select the year in which you plan to begin your program. Only years for which we are accepting applications will display.

Please select your intended program from the list below.

Please select the term you in which you intend to begin your program.

Biographical Information

First Name

Middle Name

Last Name

Alternate Last Name(s)

Birthdate

Legal Sex

The Federal Privacy Act of 1974 requires that you be notified that disclosure of your Social Security number is voluntary and is not required to determine admission. Your Social Security number is also used to report your educational expenses to the Internal Revenue Service to verify any education-related deductions you may claim on your federal income taxes.

Social Security Number or Permanent Resident Number (If applicable)

Email Address

Mailing Address

Country

Street

City

Region

Postal Code

Phone

Country of Citizenship

SMS/Text Permission

From time to time, Millersville may send SMS messages regarding events, deadlines, and other notices related to your application and student account. By providing your mobile number and indicating below, you consent to receive messages and notifications through these methods from Millersville University. Reply STOP to unsubscribe. Msg & Data rates may apply. For our full privacy policy, click here.

Additional Biographical Information

Millersville University strives to provide a welcoming and inclusive environment for all. The following questions are meant to allow students to share additional information that may be used to provide appropriate support and opportunities. This information is optional and not considered as part of the admission decision.

Regardless of how you answered legal sex earlier on the application, how do you identify?

What are your pronouns?

Please specify your pronouns.

Do you identify as Hispanic or Latino?

Regardless of your answer to the previous question, please check one or more of the following group with which you identify.

American Indian or Alaska Native

Asian

Black or African American

Hispanic or Latino

Native Hawaiian or Other Pacific Islander

Race/ethnicity unknown or prefer not to say

White (non-Hispanic)

Employment

Next, we'll ask you about your current employment. We ask for this information to help us evaluate your application and to facilitate billing in cases where your employer is funding some or all of your program costs.

Job Title

Employer

Division/Department/Unit

Work Address

Country

Street

City

Region

Postal Code

Work Phone

Education

Have you obtained a bachelor's degree?

Institution

CEEB

Country

City

State/Province

Level of Study (Only select the "Graduate" level of study if you are attending or did attend that university seeking a masters level or higher degree.)

Degree

Program of Study

Start Date

Expected date of graduation or degree completion

Please upload a copy of your transcript from this institution. Unofficial transcripts are accepted.

Certified Public Manager® Additional Questions

The total cost of the Pennsylvania Certified Public Manager® program is $3,600. This cost includes all
seven online courses, materials, three retreats, and a one-year membership in the American Society for
Public Administration (ASPA).

Who is financially sponsoring your participation in the PA Certified Public Manager® program?

I plan to cover the costs of the program in full.

My organization/agency will cover my costs for this program in full.

Both my organization and I will cover portions of my costs.

Background Questions

Briefly summarize your educational and training experience. Include any licenses, degrees, and certifications you have earned. Please reference when and where they were earned.

Please describe your time at your current organization and previous, relevant job experience. Include the number of years you held each position.

Please describe your past or present supervisory/managerial experience, if applicable.
Include current job responsibilities, number of people you supervise, and any programs you have managed.

Successful completion of this program includes a properly researched, thoughtful, and well-written capstone project report along with a brief oral presentation. Please describe your experiences with professional writing, i.e., emails, reports, white papers, policies, procedures, etc.

Please describe how this professional development opportunity will impact your job performance and help your organization be more effective?

How did you hear about Millersville's Pennsylvania Certified Public Manager® program?

Certified Public Manager® Information

I fully commit to:

Complete all components of the program (note: if a course is missed, it must be completed within the next two years to obtain certification)
Rearrange schedules as necessary to make time for the program
Complete all program hours and complete the final Capstone project
Respect and adhere to the specified time frame for all assignments
Actively engage in the learning process
Apply skills learned through the PA Certified Public Manager program in work environment
Better serve the public as a trained leader and manager

I have read and understand the following program policies:

Refund & Cancellation Policy

Refund %	Program Participation Duration
80%	Through completion of course 1
60%	Through completion of course 2
50%	Through completion of course 3
40%	Through completion of course 4
0%	After completion of course 4

The Art of Management Information

Refund Policy

Payments made to attend this program are non-refundable once access to course materials has been provided or after 7 days from the date of payment, whichever is sooner.

Additional Information and Disclosures

Program Accessibility
Millersville University may offer reasonable accommodations for persons with disabilities. Please call 717-871-7642 or email Hope.Schmids@millersville.edu to discuss your accommodations. To ensure accommodation, please indicate your special needs at least two weeks before the start of the program. Millersville University is a community of people with respect for diversity and committed to providing programs and activities to all persons.

Privacy Policy
Millersville University does not share, sell or rent their mailing lists. You have our assurance that any information you provide will be held in confidence by us. We occasionally use mailing lists that we have leased. If you receive unwanted communication from Millersville University it is because your name appears on a list we have acquired from another source. In this case, please accept our apologies.

Likeness/Photography Disclosure
Millersville University may take photographs during workshop sessions to use for PA Certified Public Manager publicity material in print or on the web. Additional information will be provided in the first workshop. If you do not wish to be photographed during your workshop sessions, please inform your workshop instructor. You may be asked to provide Millersville University with written notification of your preference.

Consent for the collection and processing of sensitive or personal data from the European Union for Admission and Enrollment purposes

Pursuant to the European Union General Data Protection Regulation (EU GDPR), the Pennsylvania State System of Higher Education and its member universities, including Millersville University of Pennsylvania (“University”), in its capacity as a data controller under the EU GDPR, must obtain explicit, affirmative consent before it can collect or process any sensitive or personal data for a lawful basis including for admission and enrollment purposes.
Sensitive data includes data revealing racial or ethnic origin; political opinions; religious or philosophical beliefs; trade union membership; genetic or biometric data; health data; or data concerning a person’s sex life or sexual orientation.
Any sensitive or personal data that is collected will be for the sole purpose of application for admission to the University that is sent from the EU and is necessary for that purpose or for any purpose permitting the use of sensitive or personal data under applicable law or to meet other compliance obligations of the University.
I understand that any sensitive or personal data that is collected will also be used to report serious illness, injury, or other health or emergency situations involving me, as well as to address or report discrimination, harassment, sexual or gender-based misconduct and criminal behavior which may be committed by or against me or otherwise involve me, on or off campus, to appropriate authorities including staff, faculty, and administrators of the University or appropriate legal or governmental authorities under applicable policies of the Pennsylvania State System of Higher Education or the University (including but not limited to applicable codes of conduct) and applicable laws (including but not limited to Title IX and the Clery Act).
I understand that refusal to consent to the use of sensitive or personal data, and the transfer of sensitive or personal data overseas, for the purpose outlined in this notice may make it impossible for the University to carry out necessary activities, and may preclude the University’s ability to provide requested services.
I understand I have the right to withdraw consent to the collection and processing of sensitive or personal data and to do so, I must contact the Registrar's Office. I also understand that the complete deletion of data will not be feasible in all situations to ensure the University’s ability to comply with regulatory requirements.

By signing below, I indicate that I have read and understand the information presented above:

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