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Certificate in Disability and Diversity Studies - Interest to Enroll form
For those interested in the Interdisciplinary Certificate in Disability and Diversity Studies.
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First Name
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Last Name
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email address
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confirm email address
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phone number
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mailing street address 1
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mailing street address 2 (optional) e.g., apt #
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City
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State (If within the USA, use 2-letter abbreviation, e.g., HI)
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zip code
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Country
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highest level of education completed
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high school diploma
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currently attending classes?
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Are you currently a student in the University of Hawaii system?
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What university do you currently attend? (write N/A if not attending)
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What are your major area(s) of interest?
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Have you ever taken a Disability Studies course before?
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If you have, what Disability Studies courses have you taken? (List below, or write N/A)
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If you have any other immediate questions or comments you may write them here.
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