Global Change Minor
Information Request Form
last update: September 19, 2006

 


Thank you for your interest in the Global Change Curriculum and the Global Change Minor.

Please complete this form to inquire about the Global Change Minor. Your information will be sent to the program, Prof. Ben van der Pluijm (vdpluijm@umich.edu), who will respond to you with a request for a time to meet. 

Please be sure to answer all questions.  Use the "Comments" box when you are uncertain about Electives and are leaving the field blank.  This can be discussed at our meet.

Note: You will not be able to submit this form if no e-mail address is entered.

Name (First, Middle, Last) 
Student ID:
Enter your e-mail address:
School or College:
Year of arrival at UM:
Core
 
I have taken/plan to take GC1:Physical Processes (Environ/UC110) in: 
I have taken/plan to take GC2:Human Impacts (Environ/UC111) in: 
I have taken/plan to take GC3: Sustainability Studies (Environ/UC212) in: 
I have taken/plan to take one of Environ 256/270/281/284 in: 
Elective 1
 
I have taken/plan to take Elective 1:  Category: 
Course number and name  Credits 

   The course is not on the current list, so I request approval 

Elective 2
 
I have taken/plan to take Elective 2:  Category: 
Course number and name  Credits 

The course is not on the current list, so I request approval 

Elective 3
 
I have taken/plan to take Elective 3:  Category: 
Course number and name  Credits 

The course is not on the current list, so I request approval 

Comments

Please use the space below if you have any questions, comments or suggestions you would like to include: