Innovation for Public Service Certificate - Student Interest Form

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Response

Please complete the following questions to submit your interest in learning more about the Innovation for Public Service Certificate. For questions, please contact Sue Bayley - sbayley@purdue.edu

First Name

Last Name

Purdue ID

Please enter your 10 digit Purdue ID number

Expected Graduation Date

Please List Term & Year (i.e. Spring 2026)

Have you completed an internship or co-op related to public service? If so, please outline your experience.

Did you complete the ENGR 103 - Engineering in Public Service course in Spring 2024 or 2025