Urban Certificate Application

If you are interested in pursuing the Urban Education Certificate, please take the following 2 steps:

1. Fill out the online Certificate Program application

2. Email Dr. Marvin Berlowitz with the following information:

Application Date:

First Name Last Name Middle Initial

SSN (No Dashes or Spaces)

Country of Citizenship (if non-U.S.)

Telephone ex: (xxx)xxx-xxxx

Address Information ** Include street adress. city, country (if non-US) and postal code

Email Address (ex: anyone@anywhere.com)

Websites that you want to reference us to:

Highest Level of Education

High School Bachelor's Degree Masters Degree Doctoral Degree Other Type of Degree (e.g. diploma, degree, certificate, etc.) Diploma Degree Other Degree Objectives Bachelors Post-Bachelors Work Masters Doctorate Certificate(s) Only

Are you currently applying to a degree program at UC? Yes No If yes to either question, which one?



What is your educational background? (include all education and dates attended)

What is your career/occupational background? (List company names, your responsibilities and dates employed)

What are your career objectives?

What are your reasons for pursuing the Peace Education Certificate (be as thorough as possible)?

Please email:

Marvin.Berlowitz@uc.edu

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