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81x Number
Full Name:
UGA Email Address:
Phone Number:
Local Address:
Permanent Address:
What is your UGA school or college? Ex. College of Education, Franklin College of Arts & Sciences, Etc.
What is your degree program?
Who is your major professor or adviser?
List your UGA matriculation date (ie. when did you begin classes at UGA?):
What is your anticipated graduation date?
What are your plans for after you graduate?
What broad areas of African American studies are of most interest to you? What courses might interest you? If possible, list specific UGA courses with AFAM prefix (using UGA Bulletin as resource) or courses from other departments with a significant focus on African American Studies.
List any previous courses within African American Studies and/or courses currently enrolled at UGA:
List any previous courses within African American Studies and/or courses currently enrolled at UGA:
Course Name and Number
Completion Date
Grade
Course 1
Course 1
Course 2
Course 2
Course 1
Course 2
Course 3
Course 1
Course 2
Course 4
Course 1
Course 2
Course 5
Course 1
Course 2
Course 6
Course 1
Course 2
Course 7
Course 1
Course 2
AFAM 7500 and AFAM 7770 are required for the Graduate Certificate program. Course offerings and availability differ each semester. Therefore, applicants are encouraged to reach out early (& often!) for a meeting to discuss requirements, courses, etc. with Dr. Lesley Feracho (lferacho@uga.edu), Associate Director of the Institute for African American Studies so that they can plan accordingly.
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