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Graduate Certificate Application

Submitted by euceadmin on Fri, 2011-08-05 09:44

This is the application for Graduate Students interested in pursuing a certificate in the European Union or West European Studies.

Please indicate the certificates(s) for which you are applying:

West European Studies

European Union Studies

Both

First Name:

Last Name:

PeopleSoft ID:

Pitt E-mail :

Personal E-mail:

Permanent Address

Address Line 1:

Address Line 2:

City :

State:

Postal Code:

Phone Number:

School/Department:

Major:

Minor:

Expected Graduation:

Study Abroad

Location:

Time Period: From :

Time Period: To:

What is your general interest related to the European Union and/or Western Europe?:

What language(s) do you study or intend to study?:

List courses you are now taking or have taken to qualify for the certificate::

What other further courses might you wish to take?:

How did you learn of the European Union Center of Exellence/European Studies Center?:

Undergraduate Advisor

Graduate Advisor

Study Abroad Office

Classroom Visit

Friend/Other Pitt Student

Professor

Other UCIS Center

Flyer/Brochure

Website

Recruitment Event/Orientation

Graduate Bulletin

Don't Know

Graduate Orientation

Other

Local Address

Address Line 1:

Address Line 2:

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European Union Center of Excellence/
European Studies Center

University Center for International Studies
230 South Bouquet Street
4200 Wesley W. Posvar Hall
Pittsburgh, PA 15260
e-mail : euce (at) pitt.edu
Phone: (412) 648-7405
Fax: (412) 648-2199