IAPH | Application Form - Executive Professional Master Program in Public Health Emergency Management

Personal Information

Full Name *:

Email Address *:

Country *:

Educational Information

Please fill in the form with your highest degree

Degree Name *:

University/College Name *:

Year of Graduation *:

Upload the Certificate *:

The allowed file types are PDF, PNG, JPG, JPEG, and WEBP. The maximum file size is 5 MB.

English Proficiency *:

Professional Experience

Current Position :

Affiliation :

Start Date :

End Date :

Letter of Interest *:

The allowed file types are PDF, PNG, JPG, JPEG, and WEBP. The maximum file size is 5 MB.

Are you affiliated with an FETP? *:

Yes

Other

Do you have any special learning, medical, or physical needs that may require support during the program? *:

Yes

Please specify *:

Declaration

I confirm that the information provided in this application is true and accurate to the best of my knowledge. I understand that any false or misleading information may result in rejection of my application or withdrawal from the program.

I agree to abide by the policies and regulations of the program and the International Public Health Academy (IAPH), and I consent to the collection and processing of my personal data for application and program administration purposes in accordance with applicable data protection regulations.

Application Form - Executive Professional Master's Program in Public Health Emergency Management

Personal Information

Educational Information

Professional Experience

Other

Declaration