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Join MOSAIC today!
If you are interested in being part of MOSAIC, fill out this form. You will be added to the listserv and receive info about meetings and events.
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First Name
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Last Name
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Email
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UNI
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Please select your Department
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Population and Family Health
Epidemiology
Biostatistics
Environmental Health Sciences
Health Policy and Management
Sociomedical Sciences
General Public Health
Dual Degree Program
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Please select your academic degree program
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MPH
MHA
MA
MS
DrPh
PhD
Dual Masters
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Program Start Year
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What year are you in your degree program?
1st Year
2nd Year
Other:
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Expected Graduation Term (Month & Year)
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What types of MOSAIC events would you like to see?
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Mentoring of Students and Igniting Community
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