HTM Certificate Enrollment Application

 
Thank you for your interest in our program. We look forward to receiving your online enrollment application. Once you have completed this application the results will be forwarded to the Program Manager and your application will be processed.

If you have any questions about the program, click here to visit the HTM web site. Once you complete your certificate program requirements, it is your responsibility to return to the HTM website and submit the UMass HTM Certificate Program Completion Form in order to receive your certificate.
 
1. Application for certificate in:
 

Casino Management
Meeting and Event Management
     

2.

Full Name  
  Last Name:
  First Name:
     
3. Mailing Address:
  Street:
  City:
  State:
  Zip Code:
Country:
     
4. Contact Information:
  Telephone:
Email:
     
5. Date of Birth:
  (mm/dd/yyyy)
     
6. Sex:  
 

Male
Female
     
7. Citizenship:  
 

Citizen of the United States
 Immigrant/Permanent Resident/Refugee
 International Student (no visa required)
   
8. Please indicate your highest level of education:
 

High School / GED
Associate's Degree / Diploma (2 - 3 years)
Bachelor's Degree / Advanced Diploma (3 1/2 years or more)
Graduate Degree
     
9. Please provide the following information regarding your highest degree or diploma.
  School:
  City:
  State/Country:
  Degree and Year:
  Major:
     
10. Please provide the following information for your most recent employer:
  Organization:
  City:
  State/Country:
  Job Title:
  Dates of Employment:
     
11. How did you first hear about the program?
 

Internet search (e.g., Google)
 UMass Amherst Online website
 Hospitality and Tourism Management website
 Promotional materials (e.g., brochures, direct mail)
 Friend or Relative
 Other (please specify):
     
12.

By checking the box below I certify that the information I have provided about my academic and personal history and residency is accurate and complete. I am now submitting my application.
 

  Check here