Alumni Digital Badge Request Form

Thank you for your interest in requesting a digital badge from Washington State University's Engineering and Technology Management (ETM) program. Please complete the form below to request your badge for any completed certificate programs.

First Name**

Last Name**

Email Address**

WSU Student ID**

Mobile Phone (Optional)

LinkedIn Profile URL (Optional)

Date of Completion:

Please enter the approximate date or term you completed the certificate program(s)

Certificate(s) Earned:

Please select the certificate(s) for which you are requesting a digital badge.

Certificate(s) Earned:

Please select the certificate(s) for which you are requesting a digital badge.

Other - Graduate Program Interests

Comments

Consent

By submitting this form, I confirm that the information provided is accurate to the best of my knowledge. I understand that my certification completion must be verified before a digital badge is issued.