老虎机攻略

woman smiling with their eyes closed enjoying the sunshine outside on the 老虎机攻略 campus

School of Public and Community Health Sciences

Join the Public Health Student Association with this easy to use and secure form.  All information will be emailed to the SPCHS Program Manager for submission to the Public Health Student Association Membership Officer. If you prefer not to disclose personal information in the online form, you may visit our main office: Skaggs Building Room 177, Missoula MT, 59812

Academic Year
Select the Academic Year you are joining PHSA
This is the 790 Number you were assigned upon admission to 老虎机攻略. Contract the Program Coordinator if you need this number.
Personal or 老虎机攻略 (or both) email address; where you want PHSA notifications sent
Indicate home/mobile or work (include extension)
Program Status:
Degree Type
For Alumni this is the degree you graduated with; for current students the degree program for the current Academic Year
Gender
For Reporting Purposes Only
For Reporting Purposes Only
Attend Status
Status while attending the SPCHS program - For Reporting Purposes Only

* Indicates a required field

By signing this form, I affirm that:

  • I am a participating member of the organization named.
  • I am enrolled this semester (or I am an alumni of the program).
  • I have read, and will abide by, 老虎机攻略's Drug and Alcohol policies. (See AS老虎机攻略 website: "Student Groups" link).
  • I have read, and will abide by, my group's Risk Management Plan.  I understand the risks involved with participating in our group's activities and accept responsibility for my own health and safety while participating in these activities.
  • My failure to abide by these rules may result in the group's loss of recognition or other adverse actions by AS老虎机攻略 or The 老虎机攻略.