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Planetary Health Campus Ambassador Application (Jan-Dec 2023)
Please complete the following application by December 1st, 2022 and email any questions to
pha@harvard.edu
. For more information of the program, please visit our website:
https://www.planetaryhealthalliance.org/next-gen
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Email
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Your email
Applicant Information
First Name
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Your answer
Last Name
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Your answer
Country of Origin:
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Your answer
Country of Residence:
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Your answer
Current address:
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Your answer
Phone number
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Your answer
Country code for phone number
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Your answer
University name
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Your answer
School or department name
Your answer
Do you expect to be attending school virtually for any of the following time periods:
January - June
July - December
January - December (fully virtual)
None of the above (fully in--person)
Unknown
I am a(n):
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Undergraduate student
Graduate student
Anticipated graduation year:
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Your answer
What is your declared or intended major/specialty?
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Your answer
Have you applied to this program before (previously called Planetary Health Student Ambassador program)?
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Yes
No
Is there already a planetary health club on your campus?
Yes
No
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Short Answer Questions
Answers should be between 150-200 words
How did you learn about the term "Planetary Health?" Please describe what it means to you.
*
Your answer
How do your academic interests align with Planetary Health? Please briefly explain your academic background and relevant extracurricular activities.
Your answer
Why do you want to be a Planetary Health Campus Ambassador?
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Your answer
What activities do you plan to hold on your campus? Please list any on-campus partners that you would reach out to/collaborate with.
Your answer
Please list 1-3 questions that you have regarding Planetary Health:
Your answer
Thank you so much for applying!
We look forward to reviewing your application and will be in touch soon. In the meantime, please direct any questions to
pha@harvard.edu
.
Warmest wishes,
the PHA team
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