Public Health Leader Application

Public Health Leader: A Certificate in Public Health Informatics

The University of Texas at Austin will offer the second and final year of the Public Health Leader Certificate Program. The Certificate is a post-baccalaureate certificate focused on public health informatics with generous funding provided by the Office of National Coordinator (ONC) for Health Information Technology. The program is not a graduate degree but it is designed to teach competencies in public health informatics and leadership skills to working public health professionals. Twelve to 15 individuals will be accepted into the program for the second year, and each student will be provided with 100% tuition reimbursement to complete five courses over a period of 12 months.

Classes will be held on the DSHS campus on Monday and Wednesday evenings from 5:30pm-8:30pm. You must be able to attend classes in Austin to participate.

To learn more, please visit our website at www.biosci.utexas.edu/healthit/informatics.asp

Important Deadlines:
Submit the "Name of Supervisor" form by Friday, May 25, 5 p.m.

Submit this application by Monday, June 11, 8 a.m.

1. Please provide your contact information:

Please provide your contact information: Name:
Employer:
Address:
Address 2:
City/Town:
State:
ZIP:
Email Address:
Phone Number:

2. How did you learn about the Public Health Leader Certificate Program?

How did you learn about the Public Health Leader Certificate Program?

3. What is your citizenship status?

What is your citizenship status? U.S. Citizen

U.S. Permanent Resident

Other (please specify)