Request For Information

Thank you for your interest in the Harvard T.H. Chan School of Public Health.

Please help us to learn more about you by filling out the form below. This will enable us to provide you with relevant event and application information. Even if you have interest in more than one area, you only need to submit one form.

Please click here to visit our recruitment calendar on our website for a listing of upcoming events.

The 2016 application for admission will be available through the Schools of Public Health Application Service (SOPHAS). Please click here to access the Schools of Public Health Application Service in mid-September 2015.

If you would like to receive additional information or have questions, please feel free to contact the admissions office by telephone at (617) 432-1031, by fax at (617) 432-7080, or via email at admissions@hsph.harvard.edu.

Introduce Yourself

Program Information


Which program are you interested in studying?*

In which department or concentration are you interested?

When do you wish to enroll?*

Are you interested in:	Are you interested in:2015 Summer Session Information 2016 Summer Session Information 2017 Summer Session Information 2018 Summer Session Information 2019 Summer Session Information 2020 Summer Session Information




Contact Information

Please complete the following information using sentence case.

Prefix:

First Name:*	First (given)

Last Name:*	Last (family)


City:*

State / Province:

Zip / Postal Code:

Country:*

Telephone Number:	(include country / city / area code)

Email Address:*

Confirm your email address:

What format would you like email messages sent? *	What format would you like email messages sent? *HTML Text


If you are currently enrolled in a degree program in a college or university, please enter the name of the institution here:

If you have been awarded a prior graduate degree(s), please list here:




Date of Birth:	mm/dd/yyyy

Citizenship Status:

Country of Citizenship: When possible, we will communicate about scholarships, funding, and other admissions-related messages that are specific to your country of citizenship. For now, you may wish to visit the Committee on General Scholarships website at www.scholarships.harvard.edu for more information.	If you are a U.S. Citizen this field will default to United States of America upon submission



Ethnicity (U.S. citizens and U.S. permanent residents only)

The following question is optional
Are you Hispanic or Latino?
Ethnicity:



How did you learn about Harvard T.H. Chan School of Public Health?




Communication from Harvard Chan School:	Communication from Harvard Chan School:Email contact Letter

Web/Internet:	Web/Internet:School Website Gradschools.com Petersons.com Other Internet search (website location)
	If other, please indicate here.

Recruitment Event:	Recruitment Event:Graduate School Fair Conference Other
	If you selected a recruitment event please specify here.

Publications:	Publications:Peterson's Guide Graduate School Guide Other Publication (please note title)
	If other, please indicate here.

Advertisement:	Advertisement:Advertisement
	Please let us know where you saw the ad.

Other:	Other:Faculty Referral Alumnus/a Colleague/Employer Friend Other

	If other, please indicate here.