APPLICATION FOR ADMISSION TO
HEALTH POLICY AND ADMINISTRATION
Fill in the form below and print.

Name (First, MI, Last):
PSU ID:	Campus Location:
Home Address:	Campus Address:
Home Telephone:	Campus Telephone:
College:	Semester Classification:
Current Major:

Courses For the Minor - A grade of C or better is required in all courses for the minor.

Course No. & Abbreviation	Title	Credits
HPA 057	Consumer Choices in Health Care	3.0
HPA 101	Introduction to Health Services Organizations	3.0
HPA 447	Financing Health Care	3.0
HPA 455	Strategic Planning and Marketing for Health Services	3.0
		3.0
		3.0
Total Credits:		18.0

Approval Signatures:

Student's Major Adviser/Date	Student's Signature/Date
Person in Charge of Minor/Date Deborah Kimmel Hommer

Note: Upon approval, the person in charge will reproduce and distribute copies: one to the College Dean for the student's major, one to the College Dean responsible for the minor, one to the student, and one to the University Registrar.

The Academic Area offering a Minor is responsible for clarifying to the University Registrar the successful completion by students of requirements of the minor. This is done by sending a memo listing the names of the certified students to the University Registrar no later than the end of the twelfth week of the semester in which the students will graduate.[/includes/default.htm]