Application for the
Global Awareness
Certificate of Special Study
Date Submitted: ____________________Fresno State Student ID #:_________________________________
First Name:________________________________________________________________________________ Last Name:________________________________________________________________________________
Please indicate how you fulfilled the requirements for the Certificate and attach a transcript. You may
submit an unofficial transcript. Return the completed form with transcript to the appropriate Department
for review and approval. Your certificate will be issued by your college/school.
Requirement
Social Science 16 – Introduction to Global Studies
Units
Date Completed
3
Foreign Language – minimum one year college level or two years high
school level. Indicate language and units earned:____________________
Study Abroad Experience. Indicate program completed and units earned:
______________________________________________________________
At least one course (3 unit minimum) in student’s major or closely
related field dealing with international aspects of the major. See website
for courses that fulfill this requirement, or consult with the Department
Head or College Dean to determine what course(s) will fulfill this
requirement. Indicate course(s) completed and units earned:__________
______________________________________________________________
______________________________________________________________
______________________________________________________________
3
Total units earned towards the Certificate (minimum 12 units)
Department Use Only
Date Approved: _______________Approving Department: ______________________________________
Department Chair (print name):____________________________________________________________
Department Chair (signature):______________________________________________________________
Retain this form in your Department and send a copy to the Dean of Undergraduate Studies.