FILM STUDIES CERTIFICATE PROGRAM Application Form The Film Studies Certificate Program enables students to obtain an interdisciplinary concentration in film studies. The Program requires 18 credit hours (6 courses) which have been approved by Certificate Program Advisors. Students are required to take FIL 3006 Introduction to Film Studies and ENG 4121 History of Film. Students may choose the remaining 4 courses from each semester’s PantherSoft Class Schedule (search by the keyword ‘film’ in each department). Students are required to take a minimum of 2 courses from departments other than English. This second application must be filled out and returned along with the first to Barbara Weitz, Director of Film Studies Certificate DM 468B: http://registrar.fiu.edu/fileadmin/templates/Registration/images/Forms/Certifica te_Program_Application.pdf Name___________________________________________________________________________ SS#______________________________Major_________________________________________ Mailing Address________________________________________________________________ Street _______________________________________________________________________________________________________________________________________ city state zip Phone_______________________email______________________________________________ Academic year________________________ Expected Date of Graduation__________ Freshman/sophomore/junior/senior Film courses completed_____________________________________________ _____________________________________________________________________ _______ ______________________________________________________________ Signature _______________________________________________________________________ Date