Prospective Graduate Student Day Registration

Please complete this form if you plan to attend Michigan Public Health's Prospective Graduate Student Day, on Saturday, October 19, 2019.  

Departments participating in this event include graduate programs in:

Environmental Health Sciences
Health Behavior Health Education
Health Management and Policy
Nutritional Sciences
Population and Health Sciences (Online)

For information regarding the Public Health Undergraduate Program, and graduate department of Biostatistics, you will want to refer to our  Recruitment Calendar for upcoming events.

Tell us about yourself

Mailing Address

Current School Level

Anticipated Start Term

Primary Department

Secondary Department

Dietary Preference
Do you have any dietary restrictions?

*We will do our best to accommodate your request.  For guests with severe restrictions/allergies we suggest that you bring snacks as supplements in case the meals we provide do not meet your nutritional needs.
Accommodation Request
Please indicate any needs which you would like to make us aware of (mobility, hearing, visual, etc.). 

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