University of West Florida

GIS Online Certificate Application

To apply, please answer the following questions to the best of your ability.
Upon completion, a confirmation will be sent to the email address you've specified within the form.

* Required. Please ensure you complete the entire form before submitting.

Applicant Information


*First Name :
*Middle Initial:
*Last Name:
*Last 4 SSN:
*Email Address:
*Telephone Number:	(8501234567)
*Mailing Address:

*City/Town/Locality:
*State - input "Other" if out of country:
Other: If you selected "other" in the previous question, please input information here
*Zip Code:
*Country:

UWF Online GIS Certificate Program Questions
*How did you learn about the Online GIS Certificate Program?:	GeoCommunity ArcNews Online Search Email or Ad Word of Mouth Other
Which level would you like to apply for: Graduate or Undergraduate Certificate If you are unsure at this time, that is ok. Please visit our FAQ section.*	Graduate Undergraduate Unsure
*Are you interested in the Archaeology option?	Yes No
*Are you aware this program requires constant broadband internet access provided by the student?	Yes No
Are you aware this program utilizes eDesktop for GIS - meaning software is accessed remotely from your laptop or PC? Neither software nor laptop will be shipped to you. Please see our website for detailed information regarding software access.*	Yes No
Are you prepared to spend approximately 10-20 hours per week on course materials? Becoming proficient in GIS can be a time consuming endeavour. If you have concerns, please contact us at gis@uwf.edu.*	Yes No
Do you agree to be prepared with the following Basic Computer Skills before the first day of class? During the course of study, students will be required to communicate, upload/download and unzip files, and learn various software programs. This is a very technical program.*	Yes No

Your Current Interests
The following questions are asked to learn more about your current interests as they relate to GIS and obtaining a Certificate in GIS.

*What first sparked your interest in the field of GIS? or What do you want to learn more about?
In a concise paragraph, answer the questions as it relates to GIS and the prospect of obtaining a UWF GIS Certificate

*What are your personal career goals?
Please answer the question in a concise paragraph as it relates to GIS and the prospect of obtaining a UWF GIS Certificate.

*Current Employer:

*Years/Months with current employer:

*Is employer paying for certification?

Yes

Job Description:

*Do you utilize GIS at your employment?
Utilizing GIS at work is absolutely NOT required. We simply want to learn more about your background and interests

Yes

*How long have you utilized GIS software?
Again, we don't require previous exposure to GIS software.
If the options do not apply to you, please choose NA.

*Brief description of GIS software exposure or use.
Include specific software program and version number. Example: ArcGIS Desktop 10

Your Academic Background
The following questions are asked to learn more about your academic background and skill set coming in to the online GIS certficate program.


I have obtained or am currently enrolled in: If the options do not apply to you, please choose NA.*
Degree, Anticipated Degree, or Other:
Institution
Year of Graduation or Anticipated Date
GPA or Current GPA
List of GIS related Courses: Please list any GIS related courses you have taken for university/college credit. If this does not apply, Please type in NA*
Please list any computer courses you have taken for university/college credit: If this does not apply, please type in NA*
List of educational accomplishments: Please list any accomplishments you would like to have considered for your application: ESRI instructor led courses, GIS tutorials, GIS short courses or similar.*

After verifying the accuracy of this information, please click the SUBMIT button.