HSCI 710 Health Systems Management Practicum

Pre-registration Form

 

Instructions:  Complete form and email a current copy of your resume to Dr. Alemi.  Submit to Dr. Alemi by March 1 for fall semester enrollment; October 1 for spring semester enrollment.

 

1. Student Name: 

 
2.  Major: 

 
3.  E-mail address: 

 
4.  Semester you plan to enroll in HSCI 710:

 
5. What are your career goals/plans:

 
6.  What knowledge, skills and experience do you most want to get during your Practicum?

 
7.  How do you hope to advance your personal career goals and course expectations during the practicum?

 
8.  What is your idea for an ideal practicum experience? (be specific)

 
9.  Do you have a specific request(s) for your practicum placement? (be specific)