Enrollment Form

UPEACE does not grant any financial assistance for these courses. Travel and living expenses are to be covered by the applicant.

If you are currently a UPEACE student, please enroll at the Students/Alumni Intranet.


Offered Courses:
Two Credits Courses

The applicant is allowed to enroll in up to 3 credits. Please, indicate if you will take the course for graduate credit or professional development purposes or other.
• 7-18 Jun 2010
Graduate Professional
Development		  
GPB 6047 Gender Economics and Development
UPE NRD-6028 Making a difference on climate change
UPE-6019 Arms Control and Disarmament Today
UPE-6024 Sports and Peace
One Credit Courses

The applicant is allowed to enroll in up to 3 credits. Please, indicate if you will take the course for graduate credit or professional development purposes or other.
• 14-18 Jun 2010
Graduate Professional
Development		  
UPE DIL-6015 International Migration: Growing Challenges and Responses
UPE-6016 Technology and Peace
• 7-11 Jun 2010
Graduate Professional
Development		  
UPE DIL-6016 International Trade and Human Rights: The Issues Today
UPE-6017 Peace Instead of Conflict: What the World Needs Now!

PERSONAL INFORMATION:

First Name:
Last Name:
Birth Date:
MonthYear (use the 4 digits)
Gender: Male Female
Country of Citizenship:
City of Residence:
Passport Number:
Month Year (use the 4 digits)
Expiration Date:

CONTACT INFORMATION:

Home Telephone:
Office Telephone:
E-mail:
Mailing Address:
Country:

HEALTH INSURANCE INFORMATION:

Name a beneficiary for health insurance policy:
State kinship of beneficiary:

ENROLLMENT INFORMATION:

How do you plan to finance this course?
Own funds
Other
If you chose "Other" please explain:
Please explain your interest in participating in this short course:
Have you previously attended a University for Peace short course or degree programme?
Yes | No
If yes, please provide the name of this course or degree programme, dates of attendance and your student ID number (if available):

REGIONAL EXPERIENCE:

1. Please indicate the regions where you have worked or studied:
  Region Years worked
or studied:
Asia and the Pacific
Central and Eastern Europe
Eastern and Southern Africa
Meso America and the Caribbean
North America
Northern Africa and the Middle East
South America
West and Central Africa
Western Europe
2. Please specify the areas of your work experience
Peace Studies
Education for Peace
Human Security
Natural Resources and Peace
International Law and Human Rights
Gender Studies
Peace and Socioeconomic Development
Other
3. Please include any other comments about your work experience that are relevant for your participation in this course:

PREVIOUS UNDERGRADUATE AND GRADUATE STUDY:

1. Please list in chronological order, the higher education institutions where you have studied, starting with, the most recent:
Institution City / Country Date Begun
(MM/YY)		 Date Ended
(MM/YY)		 Degree
and Major		 Date Awarded
(MM/YY)
2. Please provide any additional information related to your academic history which may be helpful to us in reviewing your application:

CURRENT AND PAST WORK EXPERIENCE:

1. Please list in chronological order your work experience, starting with your current or most recent position:
Institution / Company City / Country Date Begun
(MM/YY)		 Date Ended
(MM/YY)		 Position
2. Please provide any additional information related to your work history which may be helpful to us in reviewing your application:

ADDITIONAL INFORMATION:

1. Please indicate in which languages you are proficient: English
Spanish
Other
2. Please check if you have any of the following disabilities: Blindness
Deafness
Limited Mobility Specify:
Other Specify:
3. Do you have medical or religious dietary restrictions?:
4. Where did you hear about this short course or degree programme: I received an e-mail announcement.
I read a printed brochure or flyer.
I visited your website.
A friend/colleague recommended this course.
A professor recommended this course.
A former University for Peace student recommended this course.
I read about your courses on another website [ Which website? ]
I used a search engine (Google, Yahoo)
Other [ Please explain: ]

If you chose "Another Website" or "Other" please explain
Please type the 4 characters: