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* 1. We are seeking a highly motivated cohort of Public Health juniors for the Advanced "4+1" BS/MPH degree program. Students must have a minimum 3.4 UT GPA, be able to enroll in 17 hours in the fall 2017 and in the spring 2018 semesters and plan to graduate in May or August 2018. Although juniors will be given priority, seniors are also eligible to apply. The deadline for submission is 5 pm on April 11, 2017.  Do you agree to these requirements?

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* 2. Please provide your first and last name and your contact information below:

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* 3. How many credit hours will remain to complete your BS degree after the Spring 2017 semester?

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* 4. List the PBH core courses you will have completed after the Spring 2017 semester:

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* 5. What is your current PBH concentration?

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* 6. Which UT School of Public Health MPH track are you most interested in pursuing?

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* 7. Why are you interested in pursuing this opportunity? (300-500 words)

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* 8. Please email your resume to Diane Larson at delarson@austin.utexas.edu
(Attach as a Word or PDF document) no later than 5 pm on April 11, 2017. Write "PUBLIC HEALTH 4+1" in the subject line.

Add any additional comments or questions below. Thank you!

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