Masters of Public Health Application

If you see this don't fill out this input box.

Your Contact Info

*First Name:

Middle Initial

*Last Name:

*Date of Birth

*Email Address

*Home Address

*City

*State

Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

*Zip Code

*Cell Number

School Background

*High School Attended

High School GPA

Former College/University

Former College GPA

Current CSU student

YesNo

If no, you will enter CSU as

First-time student (freshman)Transfer studentAssociates degreeOther

What term will you enter CSU

Major

Service activities or organizations you participate in

List any scholarships you are already receiving or plan to receive

*Course Delivery Preference

Please Select Traditional Face to Face Fully Online with no Meetings Online with Synchronous Meetings Other

*What is your best availability for classes

Please Select Days Evenings Weekends Other

*Tell us about your interest in Public Health

Submit  

I, the student applicant, give my consent to the College to contact the listed supervisors, coordinators and references for recommendations.  With full understanding of the confidential nature of each recommendation, I hereby waive my right, present or future, that I might have to review these confidential recommendations.

I certify that all information given in the application is complete and correct.