Grad Cert Planning Form

Academic Program Completion Plan
For Disability Studies Certificate

Student Name: __________________________

Student ID Number: ______________________

Student’s Phone: ________________________

Email: _________________________________

Home Department: _______________________

Course Name and Number

Credit Hours

Grade

Term Taken

1. Core Knowledge

     

OC TH 6350 Interdisciplinary Course in Disability Studies

3

   

2. Coursework: Total hours from 2(a) and/or 2(b) must equal at least 5-9 credits. 5-9 credits

     

(a) Courses Selected From Approved Disability Studies Course List

(b) Discretionary Courses and Associated Projects (List courses and explain how associated assignments/projects were tailored to focus on disability. Additional documentation must be attached.)

     

3. Capstone Experience 2-6 credits
(Indicate course number and nature of project. Attach a brief project proposal/explanation.)

     
       

4. Disability Studies Research Forum 1 credit

     

OCTH 6860 – Disability Studies Forum

     


Total Credit Hours (15 minimum): ________________


Student Signature and Date:

_______________________________________________________

Home Department Advisor’s Signature and Date:

_______________________________________________________

Disability Studies Advisory Committee Chair and Date:

_______________________________________________________

Modifications may be made by mutual consent of the Disability Studies Advisory Committee Chair, the Home Department Advisor, and the student.

For office use only: Status Confirmation: ______________________