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Global Health Certificate Program Checklist
Last Name: ___________________ First Name: __________________ Year: _______
Student ID: ___________________ Email Address: ___________________________
Expected Graduation Date: __________________
Requirements for Completion
Course Requirements
☐ Public Health 120 – Nutrition and Global Health
☐ Public Health 170 – Intro to Global Health
☐ Public Health 173 – Health and Global Environmental Change
Global Health Journal Club Meetings (Must attend and participate in 4 meetings)
☐ Meeting #1 (please list the date and topic): _________________________
☐ Meeting #2 (please list the date and topic): _________________________
☐ Meeting #3 (please list the date and topic): _________________________
☐ Meeting #4 (please list the date and topic): _________________________
Global Health Mentorship Program
☐ Two consecutive quarters of participation
Please indicate whether you participated as a mentor or mentee: ____________ Qtr. __________ Yr. __________
Global Health Seminar Series (Attend three seminars and submit a ½ page summary of each)
☐ Seminar #1 Title. __________________________ Date. _________
☐ Seminar #2 Title. __________________________ Date. __________
☐ Seminar #3 Title. __________________________ Date. __________
Capstone Project (please attach presentation or opinion piece to this application)
☐ Research Presentation Title. _______________________ Date. ______
☐ Submission of Opinion Piece to an Undergraduate Journal
Title. ___________________________________ Date. _____________
Please email this completed checklist to Sandra M. Perez, Chief Administrative Officer, ([email protected]) so that she may verify your completion of the program requirements.
