Short Courses in Public Health (2023-2024, Term 3)

Title

Title Dr. Mr. Ms. Prof.
English Full Name (Same as HKID)
eg. Chan Tai Man *
Chinese Name (Same as HKID) *
Sex *

Sex Male Female
HKID *
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country/Region
Telephone Number *
Email *
Academic Qualifications (Please list in chronological order.)
Institution, Date of Attendance (From/ To), Major/Minor, Diploma/Degree *
Professional Qualifications
(Award Body and Year Obtained)
Working Experience (Please list in chronological order.)
Institution, Position and Years in the Position *
Certificate of academic/ professional qualifications
(e.g. diploma/ certificates or other qualifications) *

Attach Files
Application for Course

Application for Course HPSB5003 Health Promotion Programme Evaluation and Monitoring | $10,400 HSOC5003 Nutrition for Public Health | $10,400 HSOC5006 Medical Sociology | $7,800 HSYS5002 Healthcare Organisation and Management | $10,400 HSYS5004 Health Systems and Policies | $15,600 HSYS5006 Managing in Healthcare | $10,400 INFD5007 Application of Geographic Information System (GIS) in Public Health | $10,400 OENV5011 Environmental Risk Management and Communication | $10,400 PBHT6802 Master Seminar & Tutorial | $5,200
Please select either one of the below, *

Please select either one of the below, Certificate of Completion (Students are required to obtain a ‘satisfactory pass’ in the assessment for the specified module. ) Certificate of Attendance (Students who attended at least 75% of the lectures, seminars, tutorials, and practical sessions but did not take the assessment would be awarded a “Certificate of Attendance” instead.)
I will send the following to Room 202, 2/F, School of Public Health Building, Prince of Wales Hospital, Shatin, N.T. with subject: Short Course in Public Health *

I will send the following to Room 202, 2/F, School of Public Health Building, Prince of Wales Hospital, Shatin, N.T. with subject: Short Course in Public Health an application fee of HK$100.00 (A crossed personal cheque or bankdraft, payable to The Chinese University of HK")
Signature *

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Remark

1. I understand that the application fee, one paid, is not refundable.
2. Acceptance of application is subject to the course.

I declare that the information given in support of this application is accurate and complete, and understand that any misrepresentation will result in the disqualification of my application for admission.
Disclaimer The personal data collected will be used by JC School of Public Health and Primary Care - Master of Public Health Programme and authorised personnel for processing the captioned purposes in accordance with relevant provisions of the Personal Data (Privacy) Ordinance.

Short Courses in Public Health (2023-2024, Term 3)

Remark