Ethnic Studies Department

Application for the Certificate in Cultural Diversity Studies

Complete this form ONLY after you have successfully finished the required courses to earn the certificate. Fill in all the form fields -- then PRINT the form and return it with an unofficial copy of your UC Denver transcript to the ethnic studies office.

First Name:

Last Name:

Student ID #:

Mailing Address:

Home Phone:

Work Phone:

E-mail address:

Are you currently enrolled as a degree-seeking student at UC Denver or another university?
Yes No

If yes, which university?

Please list the courses completed toward the Undergraduate Certificate in Cultural Diversity Studies and attach an unofficial copy of your college transcript:

Course #	Course Title	Credits Earned	Semester/Yr Completed

Once the certificate is processed, it will be mailed to you and an entry will be made on your official transcript.

If you have questions, please contact us at ethnic_studies@cudenver.edu

Students who are not already enrolled at the University of Colorado at Denver must complete an Application for Non-Degree Admission before they can enroll in classes.

Ethnic Studies Department
University of Colorado Denver, College of Liberal Arts & Sciences
Campus Box 134, PO Box 173364, Denver, Colorado 80217-3364
Tel (303) 315-3616 • Fax (303) 315-3610
E-mail: ethnic_studies@ucdenver.edu

Physical Location: Lawrence Street Center, 1380 Lawrence St, Suite 480, Denver, CO 80217

Page Updated: April 26, 2007