Badge Request Form

If you have completed courses or workshops and believe you have earned a microcredential badge, please complete and submit this form to request your badge.

For more information, please visit FAES Microcredential Badge page.

First Name *

Last Name *

FAES Student ID *

Enter your FAES student id. It will begin with X followed by a 6 digit number. Example X999999

Email Address *

Enter your email address

Microcredential Badge Requested *

Please select the microcredential badge that you are requesting.

Advanced Cancer Biology Discovery Badge

Bioinformatics Endeavor Badge

Biomedical Sciences Endeavor Badge

Biomedical Translation and Commercialization Endeavor Badge

What motivated you to pursue this microcredential? *

First Course or Workshop Taken *

List the first course or workshop taken toward badge. Example BIOL999

Year *

Select the year the first course was taken.

2021

2022

Second Course Taken *

List the second course or workshop taken toward badge. Example BIOL999

Year *

Select the year the second course was taken.

2021

2022

Third Course Taken *

List the third course or workshop taken toward badge. Example BIOL999

Year *

Select the year the third course was taken.

2021

2022

Fourth Course Taken

List the fourth course or workshop taken toward badge. Example BIOL999

Year

Select the year the fourth course was taken.

2021

2022

Badge Request Form

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