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

       Where Taken           Course Title                             Dept     Number    Sem.   Year    Grade        A           B 

     

____________      ____________________   ______  ______     ____   _____    ___      _____    _____

 

____________      ____________________   ______  ______     ____   _____    ___      _____    _____

 

____________      ____________________   ______  ______     ____   _____    ___      _____    _____

 

____________      ____________________   ______  ______     ____   _____    ___      _____    _____

 

____________      ____________________   ______  ______     ____   _____    ___       _____    _____

                   

____________      ____________________   ______  ______     ____   _____    ___       _____    _____

 

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: _____________________________