HR Director's Certificate Application Form

Please complete all fields in this application form, and click the submit button at the bottom. If you have any questions, please see the contact information to the right.

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SECTION 1: CONTACT INFORMATION

First Name*
Last Name*
Address 1*
Address 2
City*
State*
Province
Country
ZIP/Postal Code
Is this a home or work address?*

home
work

Email Address*
Confirm Email Address*
Home Phone*

() - ext

Work Phone*

() - ext

SECTION 2: SETUP MY ECORNELL ACCOUNT

Username*
Password*
Confirm Password*

SECTION 3: UPLOAD PHOTOGRAPH

Use the browse button to locate a photo of yourself on your computer. File formats accepted are jpg, jpeg, or gif. Your photo will be uploaded when you submit your application.

File*

SECTION 4: EDUCATIONAL GOALS

Briefly describe your educational and vocational goals for enrolling in this certificate program.

SECTION 5: BACHELOR DEGREE requirement

Academic history: where, when, what degrees you have earned (or international equivalent)

SECTION 6: DATE OF BIRTH

Date of Birth is required for documentation of credit with Cornell University.

Date of Birth*

/ / (mm/dd/yyyy)

SECTION 7: SECONDARY REQUIREMENT

Select one of these two options below to fulfill admission requirement.

OPTION 1: Minimum 3 Years Employment in HR

Provide a 3-year history of your work experience including name and location of company / organization, title held, and contact information.*

OPTION 2: Completed Previous HR studies at eCornell or equivalent from another institution.

Check this option if you have successfully completed all of the following eCornell courses:

ILRHR501 Issues and Concepts in Equal Employment Opportunities Law
ILRHR502 Employment Laws for the HR Professional
ILRHR503 Fundamentals of Retirement Benefits
ILRHR504 Fundamentals of Welfare and Flexible Benefits
ILRHR505 Organizational culture and Work/Life Balance
ILRHR507 Applying and Expanding a Compensation Model
ILRHR509 Selection and Staffing: The Selection Process
ILRHR510 Selection and Staffing: The Staffing Process

Check this option if you have successfully completed an equivalent program at another institution.Provide academic history of related human resources studies program here.

SECTION 8: AGREEMENTS REQUIRED

English Language Proficiency Declaration

I certify that my skills in the English language are sufficient to permit me to participate fully in online discussions, make group and individual presentations, complete and comprehend reading assignments, and understand online course content. The information in this application is true and accurate.

Academic Integrity

I have read and understand The Code of Academic Integrity and Acknowledging the Work of Others* of Cornell University and will abide by the guidelines presented therein.

*http://cuinfo.cornell.edu/Academic/AIC.html

I agree to the above*

SECTION 9: APPLICATION COMPLETE - SUBMIT

Click the button below to submit your application information. You will be contacted by an enrollment counselor from eCornell shortly to discuss your enrollment plans in detail. Please note that eCornell reserves the right to audit materials submitted.

HR Director's Certificate Application Form

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