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I CERTIFY THAT THE INFORMATION GIVEN ON THIS APPLICATION IS TRUE TO THE BEST OF MY KNOWLEDGE. I UNDERSTAND THAT FALSIFICATION OF INFORMATION REQUESTED ON THIS APPLICATION IS GROUNDS FOR IMMEDIATE DISMISSAL.
Printed Name:_________________________________________________________________________________________________________
Signature:__________________________________________________________________ Date:_______________________
Social Security Number:___________-_________-_____________
Please print and mail this Signature Certification Form and the $50 (master's) or $60 (doctoral) application fee to:
Florida Institute of Technology
Graduate Admissions Office
150 W. University Blvd.
Melbourne, FL 32901-6988
For additional information, please contact the Graduate Admissions Office, Weekdays, 8:00 a.m. - 5:00 p.m. (EST)
Within the U.S.:1-800-944-4348
Outside the U.S.:(321)674-8027,
Fax:(321)723-9468
Request for Information
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