JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Professional Health Education Admissions Updates
As you learn admissions updates from CBS students, please submit this form so Lisa can follow up with the student. Thank you!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Student's first name
*
Your answer
Student's last name
*
Your answer
Student's x500 or student ID
If known- don't worry about looking this up if the name is spelled correctly.
Your answer
Your name
*
Choose
Burke, Jeremy
Christy, Rebecca
Economos, Kristin
Ellsworth, Chad
Haas, Kelaine
Heinonen, Miranda
Letawsky Shultz, Nikki
Maruyama, Aya
Miller Thul, Meaghan
Novack, Lisa
O'Berry, Will
Parks, Jenna
Stein, Meaghan
Ryks, Jillian
Wiesneski, Stefanie
Another fabulous staff member
Provide a brief update on the student's admissions status, including application status, health program, and school(s) known.
*
Ex: Jenna was wait listed to the U of M Medical School. Toan was accepted to UW-Madison Dental School.
Your answer
Please note anything else that would be helpful for Lisa to know, related to this student's professional health program application.
(optional)
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of University of Minnesota Twin Cities.
Report Abuse
Forms
