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

Today's Date*

First Name*

Last Name*

Middle Name

*not required*

SID# (UC Berkeley Student ID Number)*

EGT (Expected Graduation Term)*

Example: Summer 2009 or Spring 2001

If you need to move your EGT, please do so before filling out this form. See your College for the appropriate forms to fill out.

Major(s)*

Minor(s)

Please list any additional minor(s) you have aside from the Summer Minor in Global Public Health.

College or School of your Major(s)*

Example: L&S

What are you submitting this form for?*

GPH Minor (UCB Students)

GPH Certificate (nonUCB Students)

Overlap Course*

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 multiple majors, please indicate with which major.

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

*PH Majors will automatically have PH 142 as their overlapping course.

Minor Overlap Examples (Visual) (Links to Image)

Contact Information

Email*

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

Required Coursework

Public Health Majors cannot use PH N250A as part of the GPH Summer minor. If you are intending to major in Public Health, do not take PH N250A unless you know for sure you are only intending to minor in GPH.

Core Course #1: PB HLTH N112 or 112*

PB HLTH N112 or 112: Global Health: A Multidisciplinary Examination

Summer Only

List planned term/session. Example: Summer 2035

Core Course #2: PB HLTH 142*

PB HLTH 142: Introduction to Probability and Statistics in Biology and Public Health

Fall, Spring, and Summer - Waitlist restrictions apply in the Fall and Spring

Minor students are not guaranteed enrollment during the academic year.

List planned term/session. Example: Summer 2036

Core Course #3: PB HLTH N250A*

PB HLTH N250A: Epidemiologic Methods

Summer Only - Email epi_div@berkeley.edu for a permission code for summer enrollment.

PB HLTH N250A

N/A - I am a Public Health major or plan to apply to the Public Health major

Planned Term/Session - Core Course 3*

Example: Summer 2007

Put N/A if you are a declared or intended Public Health major.

Electives

Global Public Health Summer Minor Webpage with Electives List (links to website)

Non-PH Majors - Please select 2 elective courses.

*PH 150B and PH 150D are core classes for majors so if you try to enroll in these courses during the Fall semester, you will be waitlisted. Non-PH majors do not receive priority.

PH Majors - Please select 3 elective courses. These courses cannot be PH 150B or PH 150D as your overlapping course between the major and minor will be PH 142.

Elective Course 1*

Select or enter value

Planned Term/Session - Elective Course 1*

Example: Summer 2004

Elective Course 2*

Select or enter value

Planned Term/Session - Elective Course 2*

Example: Summer 2004

Elective Course 3*

Select N/A if you are not a Public Health major.

Select or enter value

Planned Term/Session - Elective Course 3*

Example: Summer 2004

Summer Minor Scholarship

The scholarship is only available to declared full-time UC Berkeley undergraduate students. The Completion Form is required for the scholarship. Priority deadlines are August 1 and February 1.

Please Double Check!

Classes offered over the academic year do not have seats reserved for GPH minors. You would be taking the chance of waitlisting the course if it is offered in the academic year.

I understand that enrollment for PB HLTH 142, 150B, and 150D during the academic year is restricted to declared Public Health majors. Seats are not guaranteed for GPH summer minor students during the Fall or Spring semesters and I will plan accordingly.*

I understand that PB HLTH N112/112 and PB HLTH N250A are summer only courses and PB HLTH 250A in the Fall is reserved for graduate students.*

I understand I will need to email epi_div@berkeley.edu for a permission code to enroll in PB HLTH N250A over the summer.*

I understand that PB HLTH W142 in the academic year is different from PB HLTH 142 and PB HLTH W142 is not open to undergraduates.*

I will do my best to fill out the Completion Form once I am enrolled in my final course (Priority Deadlines: August 1 and February 1).*

Please confirm you have read all the information above.*

Re: Information below Core Courses, Electives, Summer Minor Scholarship information, and the Please Double Check sections. You are also aware there is an FAQ on the GPH Minor/Cert webpage (links to website).

Yes

Is there any additional information we should know about?

Any questions that need a more immediate reply should be emailed to sphug@berkeley.edu.

Send me a copy of my responses