[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-287593-105":3,"doc-detail-287593-en":80,"detail-sidebar-cat-1-en-105":96},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":73,"head_meta":75,"extra_data":77,"updated_unix":79},105,"en","attestation-of-program-completion-and-licensure-understanding-gordon-state-college","Attestation of Program Completion and Licensure Understanding - Gordon State College","","This document serves as an official attestation form for students enrolling in programs at Gordon State College that lead to professional licensure. It requires students to formally acknowledge their responsibility in researching and complying with state-specific licensure requirements for their intended region of practice. By completing this form, students confirm that they have evaluated the compatibility of their chosen academic program with the professional certification criteria of their target state, thereby ensuring transparency regarding program alignment, educational outcomes, and post-graduation employability requirements. The form necessitates personal details, state-specific identification, and an initialed declaration regarding program eligibility for state licensure exams. It must be printed, completed, signed, and submitted as an essential component of the college's program admission process to verify that the student is fully informed of the regulatory landscape governing their future profession.",{"@graph":14,"@context":72},[15,34,55],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/letters/","Letters",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/attestation-of-program-completion-and-licensure-understanding-gordon-state-college/287593/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/attestation-of-program-completion-and-licensure-understanding-gordon-state-college/287593.png","ImageObject",442,249,{"name":42,"@type":43},"Adam","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-09-25","2026-09-17",true,{"@type":52,"interactionType":53,"userInteractionCount":22},"InteractionCounter",{"@type":54},"ViewAction",{"@type":56,"mainEntity":57},"FAQPage",[58,64,68],{"name":59,"@type":60,"acceptedAnswer":61},"What is the purpose of this attestation form?","Question",{"text":62,"@type":63},"The form is used to ensure that students at Gordon State College understand that their program's alignment with professional licensure requirements may vary by state and that they are responsible for verifying these requirements.","Answer",{"name":65,"@type":60,"acceptedAnswer":66},"What information is required from the student?",{"text":67,"@type":63},"Students must provide their name, the program field, their intended state of practice, their signature, and the date, while also initialing the section regarding their program's compatibility with state licensure criteria.",{"name":69,"@type":60,"acceptedAnswer":70},"How should the completed document be submitted?",{"text":71,"@type":63},"The document must be printed, completed, signed, and then submitted by emailing a scanned image as part of the student's program admission package.","https://schema.org",{"og:url":32,"og:type":74,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":76,"canonical":32},"index,follow",{"doc_id":78,"site_id":7},287593,1790317492,{"code":4,"msg":81,"data":82},"success",{"doc_id":78,"user_id":83,"nickname":42,"user_avatar":84,"doc_module":22,"category_id":85,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":86,"file_id":87,"file_url":88,"file_type":89,"file_size":90,"view_count":26,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":22,"language":91,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":92,"faqs":93,"seo_title":94,"seo_description":12,"update_tm":95,"read_time":4},1374404737137,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d",18,"Attestation of Program Completion and Licensure Understanding  \nI,[Name]   , hereby attest and acknowledge the following:  \n1. I understand that the program in which I intend to enroll at the Gordon State College is designed to culminate in a degree that may lead to professional licensure in the field of [ Program Field]    upon successful completion.  \n2. I further acknowledge that the attainment of licensure is contingent upon fulfilling state-specific requirements, which may vary from one state to another. It is my responsibility to be informed of and to comply with all requirements for licensure in the state in which I intend to seek employment and professional certification.  \n3. I hereby confirm that I have reviewed the licensure requirements of the state where I intend to practice my profession upon graduation,[State Name]   , and whether the program at the Gordon State College in which I intend to enroll is compatible with those requirements.  \n4. I acknowledge the following regarding my program's alignment with licensure exam criteria in the above-named state:  \n[ ](Initial if applicable) My program at the Gordon State College meets all necessary criteria forme to take the licensure exam in the state that I have chosen.  \n[ ] (Initial if applicable) My program at the Gordon State College does not meet the criteria forme to take the state licensure exam in the state that I have chosen.  \n5. This attestation serves as my acknowledgment that I understand that the state that I want to work in after graduation is either compatible or not compatible with the program that I am enrolled in at the Gordon State College.  \nBy signing this attestation, I declare that the information provided herein is accurate and truthful to the best of my knowledge and belief.  \n[Student Signature]  \nDate  \nPlease print this form, provide the requested information, and email a scanned image of the completed document as part of your program admission package.","cbCaiaGDoMJPPOrq","https://ap.wps.com/l/cbCaiaGDoMJPPOrq","pdf",57563,"English","# Attestation of Program Completion and Licensure Understanding\n## Student Acknowledgment of Licensure Requirements\n## Program Alignment and State Compatibility\n## Certification and Submission","[{\"question\":\"What is the purpose of this attestation form?\",\"answer\":\"The form is used to ensure that students at Gordon State College understand that their program's alignment with professional licensure requirements may vary by state and that they are responsible for verifying these requirements.\"},{\"question\":\"What information is required from the student?\",\"answer\":\"Students must provide their name, the program field, their intended state of practice, their signature, and the date, while also initialing the section regarding their program's compatibility with state licensure criteria.\"},{\"question\":\"How should the completed document be submitted?\",\"answer\":\"The document must be printed, completed, signed, and then submitted by emailing a scanned image as part of the student's program admission package.\"}]","Attestation of Program Completion and Licensure Understanding - Gordon State College | PDF",1789632516,{"code":4,"msg":81,"data":97},[98,103,108,113,118,123,128,131,136],{"id":99,"doc_module":22,"doc_module_name":25,"category_name":100,"show_sort_weight":101,"slug":102},11,"Presentations",90,"presentations",{"id":104,"doc_module":22,"doc_module_name":25,"category_name":105,"show_sort_weight":106,"slug":107},12,"Resumes",80,"resumes",{"id":109,"doc_module":22,"doc_module_name":25,"category_name":110,"show_sort_weight":111,"slug":112},14,"Invoices",70,"invoices",{"id":114,"doc_module":22,"doc_module_name":25,"category_name":115,"show_sort_weight":116,"slug":117},15,"Posters",60,"posters",{"id":119,"doc_module":22,"doc_module_name":25,"category_name":120,"show_sort_weight":121,"slug":122},16,"Social Media",50,"social-media",{"id":124,"doc_module":22,"doc_module_name":25,"category_name":125,"show_sort_weight":126,"slug":127},17,"Forms",40,"forms",{"id":85,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":129,"slug":130},30,"letters",{"id":132,"doc_module":22,"doc_module_name":25,"category_name":133,"show_sort_weight":134,"slug":135},21,"Paper Templates",5,"papers-templates",{"id":137,"doc_module":22,"doc_module_name":25,"category_name":138,"show_sort_weight":4,"slug":139},158,"General","general-158"]