COTIPSO Operating Framework (PDF) - Peace Operations Training ...

Appendix 5: Petition for the CertificateStudents will use this form to notify the Executive Director of POTI that they havecompleted all requirements needed to earn the Certificate of Training in United Nations PeaceSupport Operations. The Executive Director of the Institute shall review the petition as containedin this form, verify the completion of the requirements, and inform the student of either apositive or negative determination. If the determination is positive, the Executive Director of theInstitute shall process the Certificate of Training and award it to the student. If the determinationis negative, the Executive Director of the Institute shall inform the student the reasons for thefinding and make it clear what additional action will be needed for completion.1. Name (exactly as it should appear on the Certificate of Training, including rank or title as appropriate):2. Postal mailing address where the certificate should be sent:3. Nationality:4. Affiliation (optional, but if provided, it should be exactly as it should appear on the Certificate of Training):5. Phone number, fax number, and email address:6. Completion of requirements:6a. Name of classroom course completed:6b. Organization conducting classroom course:6c. Date of completion of classroom course:6d. List the 12 POTI correspondence courses completed:6e. Thesis title and date:7. Student’s signature and date of submission:I hereby submit this Petition for The Certificate.Signature of StudentDatePage 21