Application Form

Personal Information

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Home    Business    Cell

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Home    Business    Cell

Previous Employment

Please list your work experience. If all your experience has been with the same employer, please show your primary promotions.





College & Post Secondary

List any undergraduate/graduate work you have taken.

































Personal Statements

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1300 character(s) remaining.

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1300 character(s) remaining.

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1300 character(s) remaining.

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1300 character(s) remaining.

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1300 character(s) remaining.

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1300 character(s) remaining.

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1300 character(s) remaining.

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If you have a portfolio or samples of your creative work relevant to the DAC program, please email a PDF to dac@ucsd.edu

Please email your resume to dac@ucsd.edu.

Program Preferences

Day Classes
Night Classes

Graphic & Web Design
Mobile Applications Development
Video & Editing

Release for Field Trips and Activities

I am aware that while participating in field trips, off-campus residential programs, non-Extension sponsored events, athletics and other out-of-class activities under the auspices of the Professional Certificate Program, certain risk and dangers may occur. These dangers include, but are not limited to: accident or illness without readily available medical facilities, the forces of nature, and/or travel by automobile, bus, or other conveyance.

In consideration of the right to participate in such out-of-class activities arranged by the Professional Certificate Program, I do hereby assume all the above risks and will hold the Regents of the University of California, and their officers and employees, harmless from all liability which may arise in connection with my participation in the activities arranged by the Professional Certificate Program during my enrollment.

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Emergency Contact

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Registration Fee

Upon your acceptance into the UC San Diego Extension DAC program, a non-refundable $210 registration fee will be required.

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Please review all information entered before submitting your application. After your interview, your application will be reviewed by the DAC admissions committee. The admissions committee meets every four weeks to review applications.


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