Speech Language Pathology Pre-Professional Graduate Certificate ApplicationThis application is only used for students interested in the Speech-Language Pathology Pre-Professional Graduate Certificate and the related courses. Applicants for the Master of Science in Speech-Language Pathology program must apply through CSDCAS (Communication Sciences and Disorders Centralized Application Service): https://www.csdcas.org/ Please email slpprogram@delval.edu with questions or to request further information.NameFirst NamePreferred NameLast NameOther Last Names UsedDemographic InformationBirthdateBirthdateJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember1234567891011121314151617181920212223242526272829303120242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900Legal SexFemaleMaleGender IdentityManNon-Binary/Non-ConformingPrefer not to respondTransgender ManTransgender WomanWomanColleges and universities are asked by many groups, including the federal government, accrediting associations, college guides, and newspapers, to describe the ethnic/racial backgrounds of their students and employees. In order to respond to these requests, we ask you to answer the following two questions:Are you Hispanic or Latino?YesNoRegardless of your answer to the prior question, please check one or more of the following groups in which you consider yourself to be a member (hold down the "shift" key to make multiple selections):American Indian or Alaska NativeAsianBlack or African AmericanNative Hawaiian or Other PacificWhiteContact InformationEmail AddressPhone NumberMailing AddressMailing AddressCountryStreetCityRegionPostal CodeProgram DetailsApplicant Type (hidden)CertificateMajor Code (hidden)Graduate Certificate in Speech Language PathologyStart TermFallSpringStart Year20232024Location (hidden)Abington School DistrictBerwick Area School DistrictBucks County Community CollegeBucks County Intermediate #22Carbon/Lehigh Intermediate Unit #21Central Columbia School DistrictCentral Montco Technical High SchoolColonial Intermediate Unit #20Dallas School DistrictDanville School DistrictDelaware County Community CollegeDowningtown School DistrictEaston Area School DistrictFIGHazelton Area School DistrictLansdale CatholicLehigh ValleyLinden HallLittlestown Area School DistrictLuzerne Intermediate Unit #18Main Campus, DoylestownNazareth School DistrictNorth Penn School DistrictNorthampton Area School DistrictOld Forge School DistrictOnlineOtherOwen J. RobertsParkland School DistrictPenn State - AbingtonPocono Mountain School DistrictSolebury SchoolSouderton Area High SchoolWyoming Valley WestAcademic HistoryIn order to apply for this program, you must have a bachelor's degree. Please provide the name of the institution from which you received your undergraduate degree.College or University NameCollege or University CEEB (hidden)College or University Level of Study (hidden)GraduateHigh SchoolUndergraduateOfficial transcripts are required for matriculation. However, you may upload unofficial transcripts now to begin the evaluation process.Have you attended DelVal for any courses previously?YesNoRound (hidden)CPSCPS HistoricalCPS21FRFRGRGR-InactiveGrad HistoricalHistoricalTRTRGenerate PIN (hidden)YesNoApp Submitted Flag (hidden)YesNoRound Always Create (hidden)YesNoSubmit