Intersectional Justice Certificate Program Application Form

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Please fill out the following form if you would like to sign up for/be enrolled in the Intersectional Justice Certificate Program. Your application will only be seen/viewed by the facilitator of the course and the advisory board members.

Name *

Email *

Pronouns

Year/Position at UCSB *

Major(s)/Minor(s)

Please list any courses you have already completed from the UCSB elective courses list for the certificate program.

Please tell us about your background with social justice work, activism, ethnic studies courses, and related background or experiences. *

Why are you interested in enrolling in this certificate program? *

What do you hope to learn throughout the program? *

How do you envision yourself using/implementing the skills gained from the program once complete? *

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