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Short Course Application Form

Enrollment Form

UPEACE does not grant any financial assistance for this course. For requirements and further information, go to http://www.upeace.org/elearning/courses/.

*: Required fields


OFFERED COURSES:

*
• 04 Oct-10 Dec 2010
Credit Non-credit Name Credits
EXPC-6002 Peace and Conflict Studies; The Foundation Course
3

Please, indicate if you will take the course for graduate credit or professional development purposes or other (non-credit).

PERSONAL INFORMATION:

Note: The names you enter in the following spaces will be the same for the certificate of completion.
* First Name:
* Last Name:
* Birth Date:
MonthYear (use the 4 digits)
   Gender: Male Female
* Country of Citizenship:

CONTACT INFORMATION:

* E-mail:
   Additional E-mail:
* Mailing Address:
* Mailing Address Country:
* Telephone:
   Additional Telephone:

DOCUMENTATION:

1. * Please upload a scanned copy of your undergraduate diploma:
    Upload another document (if needed only):
2. * Please upload a scanned copy of your passport face page or a valid ID:

ENROLLMENT INFORMATION:

Please explain your interest in participating in this short course (150 word maximum) :

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):

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 (150 word maximum) :

EXPERIENCE:

1. 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
2. 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

3. Please include any other comments about your work experience that are relevant for your participation in this course (150 word maximum) :

ADDITIONAL INFORMATION:

* 1. Where did you hear about this short course: I received an e-mail announcement.
Through Facebook, Twitter or Youtube
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

* 2. Please enter below these four characters

Please type the 4 characters:


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