8/16/2019 MPH Pre-Screening Questionnaire
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Johns Hopkins/IIHMR MPH Program
Pre-Screening Questionnaire for Admissions
Dear prospective MPH aspirant,
Pre-screening of applicants for admission to the Johns Hopkins
University – IIHMR MPH Program is a critical stepin deciding the
eligibility for admission. You are expected to fill up the
Pre-screening Questionnaire and send to
MPH Coordinator at [email protected] . Based on the
information provided, you will be informed your eligibility.
Ifeligible, you will be required to complete online application
(Procedure will be communicated to you).
1.
Are you a citizen of India? D Yes D No (If No,
go to Q2)
2. Which country do you hold citizenship for (name of
country)? _____________________________
3. Which country do you currently reside in (Country name)
_____________________________
4. Have you completed at least one high school/ college level
course in the following subjects? (Please mark)
D Mathematics D Biology / Zoology/
Botany D Nutrition
D Microbiology/ Biotechnology D Bio- Statistics /
Statistics D Anatomy/ Physiology
4. Do you have a degree beyond a bachelor’s degree? D Yes
D No
5. List educational institutions you studied (graduation and
above).
Degree Year Subject/Area Institution/University
6. Whether English was the primary language of instructions
graduation degree? D Yes D No
7. Do you have health-related work experience of minimum 2
years?D
YesD
No
8. Have you taken IELTS or TOEFL? D Yes D No
9. Have taken GRE or GMAT? D Yes D No
10. Please provide your following details:
Name :
Date of Birth
Address:
Contact No. :
E.mail:
Contact Us
MPH CoordinatorInstitute of Health Management Research,1, Prabhu
Dayal Marg, Sanganer Airport, Jaipur - 302 011
Phone: 91-141-3924700, Fax: 91-141-3924738E-mail: [email protected]
URL: www.mph.iihmr.org
Please send your CV or Resume along with Pre-Screening
Questionnaire to [email protected]
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mailto:[email protected]:[email protected]:[email protected]:[email protected]
