PPD 517 - 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 517 will be meeting on these weekends:
Section 51307: June 7-8 & July 12-13
Section 51308: June 14-15 & July 19-20 (FULL)

(Fridays 2pm-7pm & Saturdays 9am-3pm)

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 517 - Concepts and Practices in Managing Health Care Organizations (Dalton) *

Section 51308 is full. If you'd like to be added to the waitlist, please email kim812@usc.edu

Section 51307: June 7-8 & July 12-13

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