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Department of Dance, University of Wisconsin-Madison
Declaration of Intent to Declare or to Cancel Certificate (Cert 622)
An advising session with the coordinator/advisor for the certificate program, Collette Stewart, is strongly recommended before declaring this certificate. Contact Ms. Stewart at firstname.lastname@example.org.
Student ID Number:
Email address (must be wisc.edu address)
I DECLARE my intention to pursue the Certificate in Pilates
I CANCEL my declaration to pursue the Certificate in Pilates
Direct questions about this certificate to
Collette Stewart at email@example.com
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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