1. Proposed Course Title
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2. Please describe your proposed course, including primary learning objectives (450 words max).
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3. Please provide a tentative 10-week plan and finals session for your proposed course (include discussion topics, assignments, curated products ideas, and readings).
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(If you prefer to send your proposed course plan as a separately formatted PDF document, you may do so. Please indicate such preference in the dialogue box below and follow instructions later in this application for submitting that material.)
4. Facilitator Information (APPLICANT #1)
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First Name
Last Name
Student ID#
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Email
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Phone
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(###)
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Class Standing (i.e., junior or senior)
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Have you completed at least one year of classes at UCLA?
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(Students who have not completed at least one year at UCLA are ineligible to propose a course.)
Cumulative Units Completed (as of the end of Spring Quarter 2023)
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Major(s)
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Minor(s)
Cumulative GPA
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Personal Statement
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Please share why you are interested in developing and facilitating such a course. Please also be sure to address how your educational training and other experiences have helped prepare you for such responsibility (450 words max).
5. Facilitator Information (APPLICANT #2)
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First Name
Last Name
Student ID#
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Email
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Phone
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(###)
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Class Standing (i.e., junior or senior)
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Have you completed at least one year of classes at UCLA?
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(Students who have not completed at least one year at UCLA are ineligible to propose a course.)
Cumulative Units Completed (as of the end of Spring Quarter 2023)
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Major(s)
*
Minor(s)
*
Cumulative GPA
*
Personal Statement
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Please share why you are interested in developing and facilitating such a course. Please also be sure to address how your educational training and other experiences have helped prepare you for such responsibility (450 words max).
6. Curator Information (APPLICANT #3)
(Applicable only for those teams electing to include a third team member who will focus specifically on course curation interests. If your team does include a third member, please take care to complete all queries included here.)
First Name
Last Name
Student ID#
Email
Phone
(###)
###
####
Class Standing (i.e., junior or senior)
Have you completed at least one year of classes at UCLA?
(Students who have not completed at least one year at UCLA are ineligible to propose a course.)
Cumulative Units Completed (as of the end of Spring Quarter 2023)
Major(s)
Minor(s)
Cumulative GPA
Personal Statement
Please share why you are interested in developing and leading this course. Please also be sure to address how your educational training and other experiences have helped prepare you for such responsibility (450 words max).
7. Our team has prepared a PDF document that contains the tentative 10-week plan for our proposed course.
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8. Our team has prepared a single PDF document that contains each facilitator's resume and (if applicable) our curator's resume.
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9. We have emailed the PDF documents referenced in #7 (if applicable) and in #8 to: honors@college.ucla.edu
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10. Our faculty mentor is aware that they must submit their Faculty Mentor Agreement SEPARATELY to the Honors Programs office by June 7, 2023 no later than 11:59PM PST in order for our application to be eligible for consideration.
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11. Faculty Mentor Information
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First Name
Last Name
Department
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Email
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12. If our proposal is accepted, each team member agrees to:
