Africana Studies Undergraduate Independent Study Application

Graduate Certificate Program Worksheet

First Name:

Last Name:

Email Address:

Phone Number:

Penn ID #:

Graduate Group/School

Year in Graduate Program

Required Courses:

(AFRC 640--Proseminar in Africana Studies, Part I - Semester - Instructor)

(AFRC 640--Proseminar in Africana Studies, Part II - Semester - Instructor)

Africana Studies-Related Courses:

(Course Number/Title - Semester - Instructor)