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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.
