Graduate Certificate Program in Culture, Language, and Social Practice University of Colorado at Boulder ENTRANCE APPLICATION (Page 1 of 2)

(Please fill out and email this Word document to the CLASP Program Director, Kira Hall, at [email protected])

1. Name:

2. Student ID number:

3. Mailing address:

4. Telephone number:

5. Email address:

6. School or Department in which you are currently enrolled:

7. Name of CLASP Faculty Advisor:

8. Expected date for completion of primary degree program:

9. List any University of Colorado courses that you have taken or are in progress that you believe might satisfy requirements for the Certificate Program (review the requirements on the CLASP website before completing this section). Include Course Title, Instructor, Department, Semester, Grade. If you have taken CLASP-related courses at other institutions, please specify this as well.

10. Provide a personal statement of approximately 250 words indicating your interests, plans, and objectives within the study of culture, language, and social practice. Graduate Certificate Program in Culture, Language, and Social Practice University of Colorado at Boulder ENTRANCE APPLICATION (Page 2 of 2)

11. Provide a short bio of approximately 100-150 words indicating your research interests for inclusion on the CLASP website (this can be excerpted from 10 above). Feel free to consult student bios already on display on the CLASP website for ideas. If you have a personal webpage that you would like us to link to from the CLASP website, specify this as well.

12. Attach to this application a pdf of a current or recent transcript.

Students admitted to the Graduate Certificate Program in Culture, Language, and Social Practice are subject to the rules and regulations of the Graduate School. Your submission of this form to the CLASP Program Director indicates your understanding and acceptance of these requirements for participation in the CLASP Graduate Certificate Program.