Digital Media Analytics Certificate - Declaration Form 
Thank you for your interest in the Digital Media Analytics program. For a list of the certificate requirements, please go to The Guide.  Please complete this brief form and allow 1 - 3 business days to process. Reach out to Sandra Kubat with any questions at skubat@wisc.edu. 
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First Name *
Last Name *
Campus ID (908XXXXXXX)
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Please enter your wisc.edu email address.
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What is your major(s)? (E.g., Comm Arts, Business, Economics, Political Science, etc.) *If undeclared, write undeclared.
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When is your anticipated graduation year/term? (E.g., Spring 2024, Fall 2025, etc.)
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How did you hear about the Digital Media Analytics Certificate program? Please list all that apply. (E.g., Major/Home Program Academic Advisor, Student Organization, Journalism/Certificate Academic Advisor, Social Media, etc.) *
I hereby acknowledge that I am submitting information to declare myself in the Digital Media Analytics Certificate program. I will the requirements of the certificate in The Guide
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