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JPHCOPH Intent to Enroll Form


Personal Information


FemaleMale
HispanicNon-Hispanic
AsianBlack or African-AmericanAmerican Indian or Alaskan NativeNative Hawaiian or Other Pacific IslanderWhite

Enrollment Plan
Yes, I plan to enroll at the JPHCOPH.
Full-timePart-time


Yes, but I am deferring to the start of the next academic year.
No, I do not plan to enroll at the JPHCOPH
I have decided to attend another college or university.
I have made other plans.

Financial Aid
I am interested in being considered for a Graduate Assistantship.
I have completed the Graduate Assistantship Application.
If you have not completed the Graduate Assistantship Application, the link is:
http://cogs.georgiasouthern.edu/new-current-students/graduate-assistantships-information/
I am not interested in a Graduate Assistantship position.

Comments/Specific questions?

Last updated: 4/20/2017