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Demography Certificate Program Enrollment Application Form

Be admitted to The University of Utah as a matriculated or nonmatriculated student.
Meet with the director or manager for consultation.
Complete and submit this form after you have applied to the University and met with the program director or the program manager.
Submit an official copy of transcript(s) to the program manager.
Register for courses.

First Name Initial

Last Name

Student ID (if current U of U student)

Address

City State Zip

Email Fax

Primary phone Other phone

Matriculated? Yes No

Multivariate Statistics Background - Prerequisite for the Certificate:

Course

Grade Semester Year

Degree Information:

Highest degree obtained

Current degree program

Expected year of graduation