1. of University Minnesota Emily Jordan Residency Program Name
This certifies that
Emily Jordan
Has successfully completed and met all the requirements of the
Residency Program Name
In the Department of
Department Name
At the University of Minnesota from
From Date to To Date
In witness whereof, we have hereunto subscribed our names and affixed the seal of the
University of Minnesota this
Day of the Month, Year
Name
Title
Name
Title

2. of University Minnesota John Q Sample Residency Program Name
This certifies that
John Q Sample
Has successfully completed and met all the requirements of the
Residency Program Name
In the Department of
Department Name
At the University of Minnesota from
From date to To Date
In witness whereof, we have hereunto subscribed our names and affixed the seal of the
University of Minnesota this
Day of the Month, Year
Name
Title
Name
Title
Name
Title

3. of University Minnesota John Q Sample Residency Program Name
This certifies that
John Q Sample
Has successfully completed and met all the requirements of the
Residency Program Name
In the Department of
Department Name
At the University of Minnesota from
From date to To Date
In witness whereof, we have hereunto subscribed our names and affixed the seal of the
University of Minnesota this
Day of the Month, Year
Name
Title
Name
Title
Name
Title
Name
Title

4. of University Minnesota John Q Sample Residency Program Name
This certifies that
John Q Sample
Has successfully completed and met all the requirements of the
Residency Program Name
In the Department of
Department Name
At the University of Minnesota from
From date to To Date
In witness whereof, we have hereunto subscribed our names and affixed the seal of the
University of Minnesota this
Day of the Month, Year
Name
Title
Name
Title
Name
Title
Name
Title
Name
Title
Name
Title