Certificate in Professional Leadership Studies Application & Advising Record

Certificate in Professional Leadership Studies Application & Advising Record

Florida International University

College of Health and Urban Affairs & Division of Student Affairs, Center for Leadership and Service

GC 316 348-1402

Name: ______

PantherSoft ID: ______Email: ______Address: ______

City:______, State: ______Zip: ______

Phone: ______Cell: ______FIU Major: ______

Expected Graduation date______FIU Major Advisor______

Type of Course / COURSE / Planned Enrollment / Grade / Completion
Date
Required
Course (3) / IHS 3204 Exploring Leadership: Yourself, Your Organizations & your Communities (3)
Core Courses (6)
Values/Ethics / IHS 4111 or URS 4061 Values, Ethics and Conflict Resolution (3)
Communication / URS 3438 Communication Skills for PM (3) or COM 3110 Business and Prof Com.(3)

Self-Awareness

/ SOW 3801 Self-Awareness and Self-Modification for Practice (3)
Electives (9)

The original of this form is kept on file and the student retains a copy. Students are responsible for updating the information each time a Professional Leadership Studies certificate course is completed. When application for graduation is made, the student may apply for the award of the Certificate in Professional Leadership Studies.

Applicant’s signature ______Date______

Certificate Director/Co-Director______Date______

For advising assistance contact:
Dr. Beverly Dalrymple,
Certificate Co-Director
(Center for Leadership & Service)
GC 316 305.348.1402 / Dr. Susan P. Himburg,
Certificate Director
(College of Health & Urban Affairs Core Curriculum)
HLS 441 305.348.3233

Information: http://www.fiu.edu/%7Eleaders/leadership_studies_certificate_requirements.htm

Leadership Certificate application