The University for Peace - Online Courses Enrollment Form

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Online Courses Enrollment Form

Short Courses Application Form

Enrollment Form for Individual Online Courses

UPEACE does not grant any financial assistance for this course. For requirements and further information, go to http://www.upeace.org/academic/distance/courses/.

*: Required fields

OFFERED COURSES:

• 05 Sep-04 Nov 2011
Credit	Non-credit	Name	Credits
		Peace and Conflict Studies; The Foundation Course	3
		Human Rights and Humanitarian Law in the Contemporary World	3
• 07 Nov-16 Dec 2011
Credit	Non-credit	Name	Credits
		The Nation State - State Weakness and Intra State War	2
		Gender and Peace Studies	2
• 02 Jan-02 Mar 2012
Credit	Non-credit	Name	Credits
		Multiculturalism: Contemporary Leadership, Culture and Diversity	3
		Research Methods	3
• 05 Mar-13 Apr 2012
Credit	Non-credit	Name	Credits
		Human Vulnerability and Climate Change	2
		Non-Violent Transformation of Conflicts	2
• 16 Apr-25 May 2012
Credit	Non-credit	Name	Credits
		Terrorism, Insurgency and the Media	2
		Environment and Peace	2
• 28 May-27 Jul 2012
Credit	Non-credit	Name	Credits
		Peace Education; Theory and Practice	3
		Media, Peace and Conflict: Reflections on Roles and Functions of the Media	3
• 30 Jul-07 Sep 2012
Credit	Non-credit	Name	Credits
		From Economic Recovery to Sustainable Economic Development	2
		Gender Mainstreaming and Peacekeeping Operations	2
• 10 Sep-19 Oct 2012
Credit	Non-credit	Name	Credits
		Practices of Conflict Management and Peacebuilding	2
• 15 Oct-23 Nov 2012
Credit	Non-credit	Name	Credits
		Family, Health and HIV/AID Issues + Drug Prevention	2
• 22 Oct-14 Dec 2012
Credit	Non-credit	Name	Credits
		Independent Research Project	6

Please, indicate if you will take the course for graduate credit or professional development purposes or other (non-credit).

PERSONAL INFORMATION:

Note: The names you enter in the following spaces will be the same for the certificate of completion.

* First Name:

* Last Name:

* Birth Date:

Month	Year (use the 4 digits)

Gender:

Male Female

* Country of Citizenship:

CONTACT INFORMATION:

* Mailing Address Country:
* E-mail:
Additional E-mail:
* Mailing Address:
* Telephone:
Additional Telephone:

DOCUMENTATION:

1. * Please upload a scanned copy of your undergraduate diploma:
Upload another document (if needed only):
2. * Please upload a scanned copy of your passport face page or a valid ID:

ENROLLMENT INFORMATION:

Please explain your interest in participating in this short course (150 word maximum) :

Have you previously attended a University for Peace short course or degree programme?
Yes \| No If yes, please provide the name of this course or degree programme, dates of attendance and your student ID number (if available):

PREVIOUS UNDERGRADUATE AND GRADUATE STUDY:

1. Please list in chronological order, the higher education institutions where you have studied, starting with, the most recent:
Institution	City / Country	Date Begun (MM/YY)	Date Ended (MM/YY)	Degree and Major	Date Awarded (MM/YY)





2. Please provide any additional information related to your academic history which may be helpful to us in reviewing your application (150 word maximum) :

EXPERIENCE:

1. Please specify the areas of your work experience

	Peace Studies
	Education for Peace
	Human Security
	Natural Resources and Peace
	International Law and Human Rights
	Gender Studies
	Peace and Socioeconomic Development
	Other

2. Please list in chronological order your work experience, starting with your current or most recent position:
Institution / Company	City / Country	Date Begun (MM/YY)	Date Ended (MM/YY)	Position





3. Please include any other comments about your work experience that are relevant for your participation in this course (150 word maximum) :

ADDITIONAL INFORMATION:

* 1. Where did you hear about this short course:

I received an e-mail announcement.
Through Facebook, Twitter or Youtube
I visited your website.
A friend/colleague recommended this course.
A professor recommended this course.
A former University for Peace student recommended this course.
I read about your courses on another website [ Which website? ]
I used a search engine (Google, Yahoo, Bing)
Other [ Please explain: ]

If you chose "Another Website" or "Other" please explain

* 2. Please enter below these four characters

Please type the 4 characters (without blank spaces):

*: Required fields