Enrollment Form, Graduate Certificate in Global Health Please email this form to
1. Date: Click here to enter a date.
2. Name: Click here to enter text. 3. PID: Click here to enter text.
4. Onyen: Click here to enter text. 5. Country of Origin: Click here to enter text.
6. Department: Click here to enter text. 7. Graduate degree program: Click here to enter text.
8. Faculty advisor: Click here to enter text.
9. Expected date of graduation (Month/Year): Click here to enter a date.
10. UNC email address: Click here to enter text.
11. Phone number: Click here to enter text.
12. Permanent email address: Click here to enter text. Click here to enter text.
13. Mailing address: Click here to enter text.
14. Permanent mailing address: Click here to enter text.
To complete the course requirements of the Global Health Certificate, you must take the following: one global health foundations course (either PUBH 510 or HPM 664), two semesters of the Global Health Discussion Series (PUBH 500), and at least 10 hours of additional global health elective courses. You can find a list of approved classes at: http://www2.sph.unc.edu/globalhealth/global_health_certificate_courses_679_9160.html
14. Please list below both the courses you plan to take and the semesters in which you plan to take them. We understand that your schedule may change.
Proposed Schedule for completing the GHC requirements:
After submitting this form to the Office of Global Health, you should contact your departmental registrar and faculty advisor to inform them of your intention to complete the certificate and to register for courses.
Enrollment Form, Graduate Certificate in Global Health Please email this form to
Foundation Course
(PUBH 510 or HPM 664) 1 Click here to enter text.
Global Health Discussion Series
(ex: PUBH 500 Spring 2014)
1 Click here to enter text.
2. Click here to enter text.
Global Health Electives
(Please see approved list)
1. Click here to enter text.
2. Click here to enter text.
3. Click here to enter text.
After submitting this form to the Office of Global Health, you should contact your departmental registrar and faculty advisor to inform them of your intention to complete the certificate and to register for courses.
Enrollment Form, Graduate Certificate in Global Health Please email this form to
15. Which of the following does your degree program require (select all that apply)
a. A field placement or internship experience ☐
b. A doctoral thesis ☐
c. A master’s paper/thesis ☐
d. A group or capstone project ☐
e. An equivalent paper/project ☐
i. If equivalent, please describe: Click here to enter text.
f. My degree does not require any of the above ☐
16. Please describe your experiences and interests in global health below and on the following page:
Click here to enter text.
Click here to enter text
Click here to enter text
After submitting this form to the Office of Global Health, you should contact your departmental registrar and faculty advisor to inform them of your intention to complete the certificate and to register for courses.