WOMEN’S STUDIES CERTIFICATE PROGRAM

APPLICATION

                                                                                                            Date:_______________

NAME:_________________________________________             ID#________________

ADDRESS:________________________________________________________________

PHONE NUMBERS: (h)___________________________              (o)_________________

EMAIL ADDRESS:_______________________________

Currently registered in:_____MALS

                                     _____ PhD      Program:____________________________________

Began at CUNY Graduate Center(Semester,Year):__________________________________

Have taken the Prerequisites:

            ______WSCP U81001 Introduction to Women Studies: Text and Theories

Fall ________ (Starting in Fall 2009)

Have taken the Requirements:

            ______WSCP U71700 Global Feminisms     Fall ________(Starting in Fall 2009)

            ______WSCP U81601 Topics in Women’s and Gender Studies      Spring ______ (Starting in Spring 2009)

Other Women’s Studies Courses taken at the Graduate Center:

Department                 Number                       Course Title                Professor                     Date

Goals and Interests in Women’s Studies:

*Please remember to notify us at Women’s Studies when you have fulfilled the requirements for the Certificate and are about to receive your Ph.D.*

RETURN TO:  Professor Victoria Pitts-Taylor

                                       CUNY Graduate Center, Rm. 5116

                                       365 Fifth Avenue

                                       New York, NY 10016

                                       (212) 817-8895 / 8905