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WAYNE STATE UNIVERSITY
CADAS Graduate Certificate in Alcohol & Drug Abuse Studies PLEASE PRINT OR TYPE
Home Address: City: State: Zip Code: Home Phone: Business Phone: E-Mail Place of Employment: Job Title & Responsibilities:
2. List all degree(s) earned or expected and the awarding institution(s).
3. Graduate Status:* Admitted to a Graduate Degree Program in Admitted in a Non-degree pre-master's program Admitted as a post-master's student
*If you are not currently enrolled as a WSU student, please contact the WSU Graduate School to apply or update your student status. 4. When do you plan to begin the Certificate Program in Alcohol and Drug Abuse Studies? Term: Year:
5. Transcript: Please send a copy of your most current transcript to the address below.
6. Letters of Reference: Please have one letter of reference sent on your behalf from your academic advisor or an instructor who is knowledgeable about your academic abilities. Alternatively, you may ask a colleague who knows your work to submit a letter of reference for you. to the address below.
CADAS PROGRAM Addiction Research Institute/DPBN Wayne State University 2761 East Jefferson Detroit, MI 48207
7. Plan of work ( to be completed at interview with CADAS advisor).
* At least one in outside discipline. Total: (17 hours min)
8. Transcripts: all applicants must include a copy of all graduate transcripts with this form ( unofficial copies are acceptable). All certificate coursework must be completed by: _______________ (within 3 years following date of first recorded grade)
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