PPD 518 - Summer 2024 D-Clearance Request

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Fill out the entire form below. After completing this form, don't forget to click the "Submit" button found at the bottom of the page.

Your information will be emailed to the MHA Program Administrator, Jennifer Kim, who is responsible for the d-clearances assigned to this course. If you have any questions, please email her: kim812@usc.edu

PPD 518 will be meeting on these weekends:
Section 51305 (Amy Nguyen Howell): May 17-18 & June 28-29

Section 51306 (Denny Hooten): May 31-June 1, June 29, & July 26-27

First Name *

Last Name *

USC ID Number *

Example: 1111222233 (no spaces or dashes)

USC email address *

Example: tommytrojan@usc.edu

Phone Number *

Example: 555-555-5555

Program of Study *

Master of Health Administration

Other:

Year of Study *

First Year

Second Year

Other:

PPD 518 - Quality of Care Concepts *

Section 51306 with Denny Hooten is full.

Section 51305 (Amy Nguyen Howell) - May 17-18 & June 28-29

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