Completion Form - Global Public Health (GPH) Minor/Certificate

Thank you for filing your Summer GPH Minor/Certificate Completion Form!


This form is required in addition to the GPH Declaration Form. This form is required if you wish to be considered for the Summer Sessions Scholarship (Full-Time UC Berkeley students only) and to make verifying completion a smoother process.


Please fill out this form by the priority deadlines of August 1 or February 1. Fill out the form by the priority deadline closest to the end date of your final course.


If you have questions email sphug@berkeley.edu or see the FAQ at the bottom of the Global Public Health Summer Minor & Certificate page (links to website).

*not required*

Example: Summer 2009 or Spring 2001

What are you submitting this form for?*

The minor is for UC Berkeley students. The certificate is for non-UC Berkeley students or non-MPH UC Berkeley Graduate students who are not able to earn a minor at UC Berkeley.

i.e. Summer 2020, Summer 2021, etc

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Have you completed the Declaration Form?*

The Declaration Form (links to form) is how we declare your minor on Calcentral. If you do not submit your Declaration form, we are not able to declare your minor and add you to our listserv.


If you are pursuing the certificate, you will also have to fill out the Declaration form so we can also add you to our listserv.

Please fill out the GPH Summer Minor/Certificate Survey*

Survey link (links to Google Form)


Contact Information

The best number to reach you at.

Please submit your UC Berkeley email (@berkeley.edu). If you do not have a UC Berkeley email, please submit the email that is best to reach you at.


Required Coursework

If you do not have your grade for a class yet, please put "pending" in that course's grade section.

If you are a declared full-time UCB student: Do you plan on overlapping a single course between this minor and your major? If yes, which course?


If you have a second minor, please note only ONE minor can have an overlapping upper division course with your major.

Core Courses

3 Core courses required of non-public health majors. 2 Core courses required of public health majors (note - public health majors cannot use PH 250A as a core course).

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Example 1: Summer 2007 Session A Example 2: Fall 2009

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Example 1: Summer 2007 Session A Example 2: Fall 2009

N/A if you are a public health major.

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Example 1: Summer 2007 Session A Example 2: Fall 2009 Put N/A if you are a public health major.

Put N/A if you are a public health major.


Electives

2 Elective courses required of non-public health majors. 3 Elective courses required of public health majors (note - public health majors cannot use PH 150B or PH 150D as elective courses).

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Example 1: Summer 2007 Session A Example 2: Fall 2009

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Example 1: Summer 2007 Session A Example 2: Fall 2009

Select N/A if you are not a public health major.

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Example 1: Summer 2007 Session A Example 2: Fall 2009 Put N/A if you are not a public health major.

Put N/A if you are not a public health major.


Scholarship

If you are interested in being eligible/considered for the Summer Sessions scholarship, please fill out the following questions. If you are not, please select N/A and move on.


Please note that the scholarship is only available to declared full-time UC Berkeley undergraduate students. You must be able to answer "Yes" to the following questions to be eligible for the scholarship.

Are you currently enrolled as a full-time UC Berkeley student?*
Have you completed the GPH requirements within the last two consecutive summers?*
Have you completed at least 4 of the 5 courses during the summer?*
Do you have a GPH minor GPA of a 2.0 and all 5 courses were taken for a letter grade?*

This can be calculated by using the following calculator (links to website).

Are you completing this form by the priority deadline that is closest to the final date of your last Summer Minor course?*

The priority deadlines are August 1 and February 1. It is okay to submit this form while you are waiting on final grades.