PPD 509 - Fall 2022 D-Clearance Request

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Fill out the entire form below. PLEASE NOTE: All fields are required.
After completing this form, please 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.

D-clearance priority will be given to incoming Fall 2022 MHA students. Your request will be processed after these students register in May.

STUDENTS, PLEASE DO NOT REQUEST D-CLEARANCE FOR MULTIPLE SECTIONS. THIS WILL DELAY PROCESSING OF YOUR D-CLEARANCE.

Last Name *

First Name *

USC ID Number *

Example: 0000000000 (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:

Are you an international student? *

Yes

PPD 509 - Problems and Issues in the Health Field *

Section 51275 with Professor Dalton is full. If you'd like to be added to the waitlist, please email Jennifer: kim812@usc.edu

51206 (Greenwald) - Wednesdays, 6-9:20pm

51309 (Lewis) - Intensive: August 26-27, September 23-24, October 21-22 & November 18-19 (9am-5pm)

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