Certificate/Minor Enrollment Form

Certificate/Minor

Your Name

First

Middle or Initial

Last

Suffix

Class year

University ID (9-digit number)

Cell phone

Email address

Home address

(Prospective) Major

Have you taken any AMS, ASA, or LAO courses? If yes, which ones

Preceptor (if known)

AMS courses completed (if any)

ASA courses completed (if any)

LAO courses completed (if any)

Statement

Please describe the subjects, questions, or themes that you hope to explore through your work in the certificate/minor program. (1-2 paragraphs)

Internal transcript

Please attach a copy of your internal transcript printed from TigerHub.
One file only.
1 MB limit.
Allowed types: txt, rtf, pdf, doc, docx.
90 MB limit per form.

Permission

Yes

Do we have your permission to post your name and/or photo on our website or social media?

Signature

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