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Application for Admission to the Health Promotion Program 2009-2011 Part I: To be completed by the applicant. Name Phone Local Address I.D. Number Have you completed 40 semester hours with a minum cumulative grade point average of 2.8? Have you completed the 20 semester hours of required academic foundation courses (Part II) with at least a minimum grade point average of 2.8? Do you understand the Health Promotion Program admission and graduation requirements? Yes No Date Email Faculty Advisor I request permission to be admitted to the Health Promotion Program. I authorize the Chair of the Department of Health and Human Performance to share with the selection committee and faculty advisor the attached transcripts for admission review to the Health Promotion Program. Student provide unofficial transcripts - see Part IV #2. A minimum grade of C- is required in all Academic Foundation courses. Part II: To be completed by the applicant. 1. REQUIRED ACADEMIC FOUNDATION COURSES CATEGORY COURSE TERM TAKEN CREDITS GRADE Category I: Global Academic Skills (12 credits) A. Mathematics (3 credits) B. English (6 credits) C. Information Literacy (3 credits) Total Credits G.P.A. for Academic Foundation Courses Category II: Natural Sciences (7 credits) 2 lectures (6 credits) & 1 lab (1 credit) (1 life science & 1 physical science & 1 lab) Category III: Social Sciences (6 credits) Courses from separate prefixes Category IV: History & Cultural Diversity (6 crdits) A. History ( 3 credits) B. Cultural Diversity (3 credits) Category V: Arts & Humanities (6 credits) A. Arts (3 credits) B. Humanities (3 credits) STAT 241 ENGL 150 BIOL 101/115 CHEM 104/105 PSYC 101 HHP 270 Have you completed >18 hours from the list of pre-requisite courses in Part III with at least a minimum grade point average of 2.8? Applicant Signature and Date Revised 3/16/09

Application for Admission to the Health Promotion Program 2009-2011

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Application for Admission to the Health Promotion Program 2009-2011

Part I: To be completed by the applicant.

Name

Phone

Local Address

I.D. Number

Have you completed 40 semester hours with a minum cumulative grade point average of 2.8?

Have you completed the 20 semester hours of required academic foundation courses (Part II) with at least a minimum grade point average of 2.8?

Do you understand the Health Promotion Program admission and graduation requirements?

Yes No

Date

Email

Faculty Advisor

I request permission to be admitted to the Health Promotion Program. I authorize the Chair of the Department of Health and Human Performance to share with the selection committee and faculty advisor the attached transcripts for admission review to the Health Promotion Program. Student provide unofficial transcripts - see Part IV #2.

A minimum grade of C- is required in all Academic Foundation courses.

Part II: To be completed by the applicant.

1. REQUIRED ACADEMIC FOUNDATION COURSES

CATEGORY COURSE TERM TAKEN CREDITS GRADE

Category I: Global Academic Skills (12 credits) A. Mathematics (3 credits) B. English (6 credits) C. Information Literacy (3 credits)

Total Credits G.P.A. for Academic Foundation Courses

Category II: Natural Sciences (7 credits) 2 lectures (6 credits) & 1 lab (1 credit) (1 life science & 1 physical science & 1 lab)

Category III: Social Sciences (6 credits) Courses from separate prefixes

Category IV: History & Cultural Diversity (6 crdits) A. History ( 3 credits) B. Cultural Diversity (3 credits) Category V: Arts & Humanities (6 credits) A. Arts (3 credits) B. Humanities (3 credits)

STAT 241

ENGL 150

BIOL 101/115

CHEM 104/105

PSYC 101

HHP 270

Have you completed >18 hours from the list of pre-requisite courses in Part III with at least a minimum grade point average of 2.8?

Applicant Signature and Date

Revised 3/16/09

COURSE TERM TAKEN CREDITS GRADE

HHP 210 First Aid and CPR 2

HHP 211 Community Health

HHP 265 Foundations of Health Promotion

HHP 320 Current Issues in Health

HHP 330 Health Behavior Theories

HHP 335 Methods of Health Promotion

HHP 340 Health Education Strategies

HHP 364 Research Methods in Health and Human Performance

HHP 450 Worksite Health Promotion

HHP 455 Technological Applications in the Health Sciences

G.P.A. A minimum G.P.A. of 2.8 must be earned in any combination of at least 18 semester hours.

Part IV: Applicant must attach the following information:

1. Explanation for "no" answers from Part I, if any. 2. A current working copy of your transcript.

Parts I, II, III and IV must be completed and returned to your advisor prior to registering for restricted courses. Applications are handled on a rolling admissions basis.

Parts IV: Signatures to be obtained by the student:

1. ADVISOR'S RECOMMENDATION I have read and evaluated this student's application and recommend that this student be admitted to the Health Promotion Program at Montana State Billings.

Faculty Advisor Date

HHP 461 Organization and Administration in Health Enhancement

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Part III: To be completed by the applicant. From the following list, at least 18 hours must be completed with a minimum grade point average of at least 2.8 including Microbiology for Health Sciences and Human Anatomy and Physiology I and II with labs*.

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Revised 3/23/09

*BIOL 341/343 Human Anatomy and Physiology I 4

*BIOL 345/346 Human Anatomy and Physiology II 4

*BIOL 251 Microbiology for Health Sciences 3

HHP 411 Alcohol, Tobacco and Other Drug Prevention 3

HHP 425 Health and Sexuality 3

HHP 430 Exercise Physiology/Lab 4

HHP 432 Nutrition in Health and Human Performance 3

HHP 433 High Level Wellness 3

HHP 435 Health Aspects of Aging 3

HHP 436 Stress Management and Emotional Health 3

HHP 445 Exercise Testing and Prescription 3