University of Colorado at Boulder

Certificate in British Studies Application

Print and complete this form.

Student's Name

Student Number

Email Address

Local Phone Number

Local Address

Major

Probable Date of Graduation (Sem./Year)

Within the British Studies concentration, will English or History be your primary department?

List the four courses which you expect to take in the primary department:

What will be your secondary department, History, English or Political Science?

Which two to four courses do you expect to take in this department?

If you think you may take courses in other departments, list the ones you are considering.

What plans do you have for explicitly interdisciplinary work (e.g. taking a team taught course offered by two departments such as English 3162 / History 3163, or doing an Independent Study or Honors Thesis that spans two disciplines)?

Are you considering Study Abroad?

Signature

"This program has been discussed with me and approved."

(Signature of designated faculty member in British and Irish Studies.)

(date)

The student should keep a copy of this application and turn in the original to the Center for British and Irish Studies, Jillian Heydt-Stevenson, Campus Box #226, University of Colorado, Boulder, CO 80309-0226