Public Health Certificate Enrollment formPlease fill out all required fields to enroll in the public health programYour email will be recorded when you submit this formYou must have JavaScript enabled to use this form.Indicates required field First NameLast NameCU login nameSecond undergraduate majorFirst undergraduate majorUndergraduate minorAnticipated graduation month December (Winter) August (Summer) May (Spring)Anticipated graduation yearAre you interested in local, regional, national or international internships related to public health? * Yes NoIn 200 words or fewer, briefly describe your interest in public health. *