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Department of Dance, University of Wisconsin-Madison
Declaration of Intent to Declare or to Cancel Certificate (Cert 280)
An advising session with the advisor for the certificate program, Professor Joseph Koykkar, is strongly recommended before declaring this certificate. Contact Professor Koykkar at email@example.com.
Student ID Number:
Email address (must be wisc.edu address)
I DECLARE my intention to pursue the Certificate in Dance
I CANCEL my declaration to pursue the Certificate in Dance.
Direct questions about this certificate to the program advisor, Professor Joseph Koykkar, at
Direct technical questions about declaring or canceling your declaration of this certificate to firstname.lastname@example.org.
Upon completion, you must submit an electronic completion form for this certificate. Find the Dance certificates completion form here:
Submit the completion form during the semester you finish the required certificate course work or during the semester you intend to graduate.
By pressing submit, I verify that I have read the information above. Print a copy of this application before submitting and retain for your records.
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