NAME:
CLASS OF:
DEGREE:
OTHER DEGREES/SCHOOLS:
ADDRESS:
TOWN:
STATE:
ZIP:
PHONE:[AREACODE](Home):
PHONE:[AREACODE](Work):
E-MAIL (Please provide so I can verify information submitted) :
Item Category:
Please provide details for the above, as follows:
- Award - By whom; when; for what.
- Inteview - Publication; news media (Internet, Radio, TV); date;
discussion topic; is it available? from whom?
- Presentation - Sponsored by whom; when;
topic.
- Professional Organization/Affliation - Name of
organization; office held, term of service; committee name; what did or do you do?
- Publication - Publisher; title of what was published;
when; volume, number; if on the Net - URL address, agency name or personal Web site.
- Teaching - Name of school; where; when; courses taught. If continuing ed, seminar, workshop - sponsor; where; when; topic.
discussion topic; is it available? from whom?
- Written - Materials you've written but may not necessarily published, but distributed in some way. If document - type (manual, guidelines, etc.) If grant - was if funded - by whom, for what, how long, how much? If materials - topic, for what.
If report - about what, sent to whom.
- Other - Anything creative, unique, etc. you want to
share...
Here are the details:
Comments, suggestions, questions:
Thanks for your submission. If I have any questions, I will contact you by
e-mail (whenever possible). Previous annual editions of the
MPH Alumni Record were shared with the SCSU
Department of Public Health and SCSU Alumni Association.
This document is currently being converted into Web pages.
When the conversion has been completed, this document will be available as
MPH Alumni Record Online.
You can always E-mail Me about this and
other activities of the MPH Accreditation Committee.
