Application:
Five College Certificate in Logic
Student's name:______________________________________________ College:_____________________
Expected Month and Year of Graduation:__________________________ Major:______________________
Local Address:_______________________________________________ Telephone:___________________
Email Address: ______________________________________________
Permanent address (where certificate can be mailed) _______________________________________________________
List below 6 courses fulfilling certificate requirements. (No more than 4 courses may be from any single
discipline, i.e. philosophy, linguistics, mathematics, computer science.) Also indicate any distribution
requirement the course fulfills by placing a check mark on the appropriate line under the appropriate letter: A) At
least one course offering exposure to the metatheory of first order logic, including incompleteness;B) Two
upper division courses (normally, 500 or above at UMass, 300 or above at Smith, Hampshire or Mt Holyoke,
25 or above at Amherst):
Requirements fulfilled
Institution
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Advisor Certification: The above named student has completed all certificate requirements. I have appended a copy
of her/his transcript. I recommend to the Five College Logic Certificate Committee that he/she be awarded the
certificate:
Date: __________________ Advisoršs Signature: _____________________________