Professional Certificate Application

Now accepting applications for our 2023 Virtual and In-Person Cohorts! If you are unable to join us and would like to be notified when registration opens for future sessions, please email us at davenport.institute@pepperdine.edu.

First Name

Last Name

Title

Organization

Below, please include the address that you would like your certificate mailed to after completion of the program.

Street Address

Street Address 2

City

State/Region

Postal/Zip Code

Country

Phone

Secondary Phone

Name on Certificate

Please provide your name as you would like it to appear on your certificate.

Describe any previous experience you have with public engagement.

Describe any previous experience you have with public engagement. What positive or negative experiences have you had with efforts to engage the public?

How did you hear about the program?

Please answer each of the following questions in 150-200 words. To allow for cohort members to get to know one another, these responses will be compiled and sent out to all participants in advance of the program. Therefore, please answer each thoughtfully.

Please describe a public engagement challenge you are facing, or may face in the near future, that you would like to work during this training.

The goal of the professional certificate is to practically equip participants to be leaders in public engagement. The program offers various opportunities to workshop and build strategy for real-life engagement efforts. To that end, please describe a public engagement challenge you are facing, or may face in the near future, that you would like to work on during this training.

Please provide a 150-200 word bio to be shared with your cohort.

Upload a headshot

Which cohort are you applying for?

6-Week Virtual Spring 2023 (February 21-March 28)6-Week Virtual Summer 2023 (May 24-June 28)6-Week Virtual Fall 2023 (October 12-November 16)3-Day Virtual Intensive 2023 (April 13-15)3-Day In-Person 2023 (July 14-16)

General Data Protection Regulation

Pepperdine's communication and GDPR Privacy Notice.

Yes, I agree

Most participants secure funds for training from their employer to support their participation in this program. If you are sponsored by your agency, please include a confirmation with the administrative requirements for processing funds to Pepperdine University. Personal funds may also cover the cost of the program.

Limited financial assistance is available. To be considered, please submit a request via email to davenport.institute@pepperdine.edu. In the financial assistance request please detail your interest in the program, professional experiences, the amount your employer is able to support, and remaining financial need.