Saw Swee Hock School of Public Health

Transcription

1 FOR MPH OFFICE USE ONLY Saw Swee Hock School of Public Health MASTER OF PUBLIC HEALTH 2016 Epidemiology APPLICATION INFORMATION BOOKLET Application Period: 28 September to 6 December 2015 Application for Master of Public Health 2016 Page 1

2 INTRODUCTION Public health focuses on preventing disease and promoting health at the population level. In today s context, it is a field of work that seeks to identify the causes of ill-health as well as cost-effective measures to reduce their effects within the population. Why the NUS Master of Public Health programme? A living classroom As a country which has experienced rapid urbanisation and marked changes in population structure and healthcare needs, Singapore s achievements in environmental health, infectious disease control, health promotion, and healthcare financing provide a living classroom for graduate students interested in a diverse range of public health topics. A multi-disciplinary approach The MPH programme seeks to provide a rigorous and interdisciplinary approach to learning, with an emphasis on finding evidence-based, and innovative solutions to Asia s current and future public health challenges. Within the university system, close links with the National University Hospital (NUH), the Lee Kuan Yew School of Public Policy, the NUS Business School, as well as the Faculties of Arts and Social Sciences ensure that research and teaching is both progressive and comprehensive. A strong methodological focus The MPH programme stresses the importance of scientifically sound, rigorous methodology. At the same time, many modules include a practitioner-led component which is based on strong ties with the Ministry of Health and various healthcare institutions throughout the country. Where do our graduates go? Graduates are equipped to address both traditional and emerging public health issues. They assume leadership and administrative positions in health promotion and disease prevention, health administration, occupational and environmental health, and epidemiologic, clinical and health services research, and work in a wide variety of local and international settings. Areas where our graduates have found employment include: Government and statutory boards such as the Ministry of Health, the National Environment Agency, the Health Promotion Board, the Communicable Disease Centre. Healthcare institutions including NUH, Tan Tock Seng, the Health Sciences Authority and the National Cancer Centre. Industry such as public health laboratories, research and development divisions within pharmaceutical companies, and occupational health and safety departments within the petroleum and chemical industry. Non-governmental organisations (NGOs) involved in medical and humanitarian work including Population Services International, Médecins Sans Frontières and international financial institutions like the World Bank. Application for Master of Public Health 2016 Page 2

3 CURRICULUM STRUCTURE The MPH programme is offered on both a full-time and part-time basis. Students complete six core modules, including a compulsory Practicum project. Students also read between five to ten elective modules in a General Public Health track. Depending on their background, they may also choose to specialise in the area of Occupational and Environmental Heath. CORE MODULES CO5102 Principles of Epidemiology CO5103 Quantitative Epidemiologic Methods CO5104 Health Policy & Systems CO5202 Environmental and Occupational Health CO5203 Lifestyle & Behavior in Health & Disease CO5210 Practicum ELECTIVE MODULES CO5201 Control of Communicable Diseases CO5204 Health Economics and Financing CO5205 Management of Healthcare Organisations CO5206 Medical and Humanitarian Emergencies CO5208 Measuring and Managing Quality of Care CO5209 Control of Non-communicable Diseases CO5214 Introduction to Health Services Research CO5215 Advanced Epidemiology I CO5218 Advanced Quantitative Methods I CO5219 Clinical Epidemiology Methods CO5220 Design, Conduct and Analysis of Clinical Trials CO5221 Contemporary Global Health Issues CO5222 Programme Evaluation CO5226 Public Health Communications CO5229 Nutrition and Health CO5230 Public Health and Aging CO5232 Collection, Management & Analysis of Quantitative Data CO5233 Qualitative Methods in Public Health CO5234 Developing health proposals using DME Skills & tools CO5235 Information Technology in Healthcare CO5236 Economic Methods in Healthcare Technology Assessment CO5237 Healthcare Analytics *CO5305 Industrial Hygiene *CO5306 Public Health Toxicology *CO5312 Occupational Ergonomics *CO5304 Occupational Health Practice 1 / *CO5307 Clinical Occupational Medicine 2 *CO5317 Workplace Assessment * Required modules for students who wish to specialise in Occupational and Environmental Health 1 for non-medically qualified students 2 for medically qualified students OTHER ELECTIVE MODULES As part of their elective requirements, students can opt for the Independent Study Module (ISM), which allows students to undertake internships, projects and other structured learning experiences with local or overseas institutions and health-related organisations. Students may also register for approved cross-faculty modules, subject to the acceptance by the relevant faculty/school. Note: Modules are subject to availability and may change with each academic year. PROGRAMME CANDIDATURE MEDICALLY QUALIFIED NON-MEDICALLY QUALIFIED MINIMUM MODULAR CREDIT (MC) REQUIREMENT MINIMUM 44 MCs MINIMUM 64 MCs FULL-TIME PART-TIME FULL-TIME PART-TIME MINIMUM PERIOD OF CANDIDATURE 12 MONTHS 24 MONTHS 18 MONTHS 36 MONTHS MAXIMUM PERIOD OF CANDIDATURE 24 MONTHS 48 MONTHS 36 MONTHS 72 MONTHS Application for Master of Public Health 2016 Page 3

4 APPLICATION INFORMATION Please read the following information carefully for your application. For more information, please visit the school s website at: or to: mph_admin@nus.edu.sg All documents submitted for application will NOT be returned. APPLICATION PROCEDURE ONLINE Applications for the Master of Public Health (MPH) programme should be submitted via the NUS Graduate Admission System (URL: In addition to the information submitted online, you must also forward a hardcopy application package that includes all of the following: 1. Printed copy of the Online Application Summary 2. 2 passport size photos 3. Proof of payment of Application Fee 4. Official transcripts and certificates [Transcript Request Form on Pg.28] 5. Standardized test scores (if required) 6. Curriculum vitae/ resume 7. Personal Statement [Personal Statement Form on Pg.30] 8. Referee Reports [Submitted by your referees via hardcopy or on Pg.32] 9. Copy of passport and/ or identity card 10. Copies of all relevant supporting documents 11. Documentary Proof of Financial Support 12. Application Checklist [Application Checklist Form on Pg.38] Please note the following: The application form must be completed in English. Non-English supporting documents must be accompanied by a notarized English translation. The originals of submitted documents must be furnished for verification at student registration. All supporting documents photocopied from originals are to be stamped CERTIFIED TRUE COPY & ENDORSED by a responsible person (e.g. school principal, commanding officer, personnel manager, etc.). Your full name, as written on page one of the application form, should appear on every document submitted. If any variation in your name appears on any material submitted, please highlight to us. Applicants should check and ensure their nominated referees have submitted their Referee Reports to the MPH Programme Administrator All the above documents should be mailed to: The Programme Administrator Master of Public Health Programme Saw Swee Hock School of Public Health National University of Singapore Tahir Foundation Building (MD1) Level 10, 12 Science Drive 2 Singapore ADMISSION REQUIREMENTS Medically Qualified Applicants MBBS or equivalent; One year of general clinical experience (excluding housemanship*); AND One year of experience in public health, health administration, occupational and environmental health or have entered clinical specialty training, OR Enrolled in the preventive medicine residency programme * Applicable to Singapore-trained doctors only Non-Medically Qualified Applicants A good Honours degree or equivalent; and Two years of experience in public health, health promotion, health administration, occupational and Application for Master of Public Health 2016 Page 4

5 environmental health experience or clinical research. Note: Meeting these minimum requirements does not imply automatic admission into the programme. STANDARDISED TEST SCORES English Proficiency for International Applicant Test scores for the TOEFL (Test of English as a Foreign Language) or IELTS (International English Language Testing System) must be submitted for all international applicants EXCEPT those whose undergraduate or graduate degrees are from Englishmedium institutions in Australia, Canada, Ireland, New Zealand, the United Kingdom and the United States. The minimum scores for the respective tests are required: 580 on the TOEFL paper-based test 237 on the TOEFL computer-based test 85 on the TOEFL internet-based test 6.0 on the IELTS test Note: Scores for the TOEFL and IELTS are valid for 2 years. Please do not submit TOEFL or IELTS scores that are no longer valid. For more information about the TOEFL or IELTS, and for instructions on registering, please visit the websites (for TOEFL) and (for IELTS). OFFICIAL TRANSCRIPTS AND CERTIFICATES Official transcripts of academic work and degrees/diplomas/certificates from each college or university you have attended/ attending must be submitted directly to the MPH Programme Administrator from your college or university registrar except for alumnus of NUS. Present the TRANSCRIPT REQUEST FORM to your college or university registrar. If your institution does not provide official transcripts, please provide a certified true copy/ notarized copy of your credentials and a list of courses taken and the grades/marks received. These documents should be signed by an official of the institution and mailed directly to the Master of Public Health programme in an envelope that is signed across the sealed flap. If the credentials are not in English, they must be accompanied by English translations that have been notarized. CURRICULUM VITAE / RESUME Please include your curriculum vitae (CV) listing your academic, professional, and personal achievements, including significant appointments that you have held. For each appointment, indicate the organisation, the period (include month and year) during which you held the appointment, your major responsibilities and the name and title of your supervisor. Please explain any gaps in your employment history. PERSONAL STATEMENT The Personal Statement is a crucial component of your application. Please elaborate on your goals and objectives of applying to the MPH programme. If additional pages are required, contents may be submitted on a blank sheet of paper. If you are currently not employed, please state the reason (s). REFEREE REPORTS You must provide 2 references in English from individuals who know you and your work, preferably one of which is your direct supervisor. It is important that you select referees who are able to comment on your abilities in the professional setting. All referees should complete the REFEREE REPORT and mail a signed hardcopy of their report directly to the MPH Programme Administrator. Alternatively, they may send a scanned copy of the signed report via to mph_admin@nus.edu.sg. Applicants should check and ensure their nominated referees have submitted their Referee Reports to the MPH Programme Administrator. Application for Master of Public Health 2016 Page 5

6 APPLICATION FEE A non-refundable application fee of SGD20/- (inclusive of prevailing GST) is payable per application. Payment may be made by any one of the following methods: Modes of Payment for LOCAL Students ONLINE payment by CREDIT/DEBIT CARD Payment is made through the through the Graduate Admission System Accepted Credit Cards - AMEX, VISA or MasterCard For Debit Cards, applicants must have an online banking account with either of the following banks POSB/DBS, UOB or Citibank Modes of Payment for INTERNATIONAL Students ONLINE PAYMENT a) By CREDIT/DEBIT CARD Payment is made through the through the Graduate Admission System Accepted Credit Cards - AMEX, VISA or MasterCard For Debit Cards, applicants must have an online banking account with either of the following banks POSB/DBS, UOB or Citibank Payment by telegraphic transfer WILL NOT BE accepted MANUAL PAYMENT b) By BANK DRAFT - Complete the relevant Application Fee Form (Pg.36) and send it together with a bank draft (drawn on a bank in Singapore in Singapore dollar) made payable to "National University of Singapore". Please write your name, mailing address and programme applied for at the reverse side of the bank draft. c) BY CASH - Cash payment will only be accepted if payment is made in person at the Master of Public Health (MPH) office. You may appoint a representative to pay on your behalf. Please send your proof of payment together with your application package. Please note that an application without the application fee payment or with insufficient application fee amount will not be processed. Application for Master of Public Health 2016 Page 6

7 ADDITIONAL INFORMATION Occupational & Environmental Health Specialisation Students who wish to specialise in Occupational & Environmental Health should indicate this at the start of the first semester. The Occupational & Environmental Health specialisation will only be offered if there are a minimum of 6 full-time students wishing to opt for that specialisation in any one academic year. If there are insufficient numbers to run this specialisation, students should be prepared to stay on the General Public Health track. Documentary Proof of Financial Support International applicants must submit documentary evidence of their ability to support their study (e.g. a bank statement) indicating the availability of funding of at least S$15,000 or its equivalent. Applicants who are sponsored by an individual or organization will need to submit a letter from the sponsor with details/documentary proof of the sponsorship. Those who are working in Singapore and applying for admission to our part-time programme may submit a copy of their recent pay slip. The University has not engaged any external agencies to undertake graduate student recruitment on its behalf. Candidates interested in our graduate programmes are advised to apply directly to the University and not through any agents. Candidates who apply through agents will not have any added advantage in gaining admission and the University reserves the right to reject such applications without giving reasons. ADDITIONAL INFORMATION FOR ONLINE APPLICATION The Graduate Admission System enables candidates to apply for admission into the graduate coursework programmes offered by the National University of Singapore. There is no limit to the number of applications you can submit. However, application for each programme must be submitted and accompanied by separate application form (which can be printed from the system after your submission), application fee and supporting documents sent to the respective department/faculty. Please refer to instructions and read the guide to the online application system before proceeding with your application. IMPORTANT THINGS TO NOTE: 1) When submitting your application online, you will be asked to enter a valid and correct address and a 6-character Password. Your and Password are important and enable you to access the following online facilities related to your application: a. Online Application Status Enquiry* b. Online update of Personal Particulars and Contact Details 2) The MPH Office will correspond with you primarily using during the application process to convey messages such as requesting for outstanding documents, interview notification etc. Hence, it is very important that you provide a valid and correct address and maintain your account regularly. The University will not be responsible for undeliverable s and their consequences. 3) A 10-digit Application Number will also be generated for each application submitted. Please quote your Application Number when corresponding with the MPH Office. Application for Master of Public Health 2016 Page 7

8 ONLINE APPLICATION PROCEDURE 1) Accessing the NUS Graduate Admission System The Graduate Admission System (GDA2) is available at: 2) New Applicant Create your account a) New applicants must create an application account in the GDA2 system before they can start applying for courses in NUS. Click on Create a new account b) Enter required particulars on the Create New Account screen. *Important: Please ensure you enter a valid and correct address, date of birth and a 6-character Password. These details will enable you to check your application status, update your particulars and change your password. NUS and the MPH Office will also correspond with you primarily using this during the application process to convey messages such as requesting for outstanding documents, interview notification etc. Application for Master of Public Health 2016 Page 8

9 3) Existing Applicant Login to your account a) For existing applicants, login using your and password. 4) Start Course Application Process a) Upon login, you will see the GDA2 HOME page. Click on Manage Applications. Application for Master of Public Health 2016 Page 9

10 b) The Manage Applications screen appears. This screen allows you to: i. View the list of programmes you have applied for. ii. iii. iv. Apply for New programmes Edit or Delete programmes that have NOT been submitted yet Withdraw from programmes that have been submitted v. Download a Summary of the application in PDF format for printing vi. Check the Application Status of programmes that have been you have applied for You may view your application status here. The MPH office will also inform via your if your application has been successful or unsuccessful. (iii) (iv) (ii) (v) (vi) Application for Master of Public Health 2016 Page 10

11 c) To apply for the MPH programme, click Add New Application. Enter details as follows: Programme Type : Coursework Faculty Programme Specialisation : SSH School of Public Health : Master of Public Health (MPH) : If you wish to specialise in Occupational and Environmental Health, select Occ, & Env Health-SPN. Otherwise, leave this field blank to remain in the General Public Health track. Source of Finance: Self Support/ Sponsorship/ Scholarship Note: Please select Sponsorship or Scholarship ONLY if you have secured the Sponsorship or Scholarship. Once you have secured the funding, please inform the MPH office to make the necessary changes for you for this application. If you intend to apply for Sponsorship or Scholarship, please select Self Support Application for Master of Public Health 2016 Page 11

12 5) View Instructions a) Before continuing with your application, click on View Instructions to see additional application instructions for the MPH Programme. b) Proceed with your application by completing all required information listed on the left-hand side navigation bar. (a) (b) Application for Master of Public Health 2016 Page 12

13 6) Personal Particulars Enter all relevant Personal Particulars. Fields denoted with the red asterisk * are compulsory fields. a) International applicants who are residing or working in Singapore are required to fill in your Pass Type (dependent/ employment/ long term/ student pass), Pass Expiry Date and Pass Number b) Singapore PRs and International applicants are requested to fill in your passport details (a) (b) Application for Master of Public Health 2016 Page 13

14 7) Academic Qualifications a) Please provide your complete academic history including both completed and attempted programmes. Click Add to insert an Academic programme. b) Enter your academic history in reverse chronological order, beginning with your current/most recently obtained academic qualification. c) Please state clearly if the programme was undertaken with subsidy from the Singapore Government or sponsored by a Singapore government agency (such as scholarships offered by the Ministries, Public Service Commission and Statutory Boards). (c) Application for Master of Public Health 2016 Page 14

15 8) Languages a) Click Add to insert new language ability b) Indicate your spoken and written ability for the language. Application for Master of Public Health 2016 Page 15

16 9) Other Information The University requires applicants to declare any disabilities or special needs that may require special assistance or facilities. Please provide details if Yes. Please note that this is not a guarantee of the provision of special assistance or facilities. Application for Master of Public Health 2016 Page 16

17 10) Employment History a) Click Add to insert new employment history b) Please provide details of employment since obtaining your 1st degree (Bachelor's) in reverse chronological order, starting with your current/ most recent employer. If you are currently not employed, please state the reason in your personal statement. Please leave this section blank if you do not have any Employment History Application for Master of Public Health 2016 Page 17

18 11) Test Details Test scores for the TOEFL (Test of English as a Foreign Language) or IELTS (International English Language Testing System) must be submitted for all international applicants EXCEPT those whose undergraduate or graduate degrees are from English-medium institutions in Australia, Canada, Ireland, New Zealand, the United Kingdom and the United States. You are required to send physical copies of supporting documents (original or certified true copy) of your test scores, together with your printed application summary 12) Contact Details a) You are required to enter your personal contact details as well as a next-of-kin s details. A mailing address should be provided if different from your personal address Application for Master of Public Health 2016 Page 18

19 b) Please update your telephone or mobile phone numbers in the following format: <Country Code-Area Code-Phone number>. For Singapore numbers, please use <Country Code-Phone number>. Application for Master of Public Health 2016 Page 19

20 13) Achievements Please provide details of any awards/prizes you have received and membership of any professional organisations. 14) Questionnaire Please answer a series of questions relating to (a) Funding (b) Application to NUS (c) General feedback a) Scholarships are applicable only to FULL-TIME students. You will be considered for relevant scholarships if you are deemed eligible for the available scholarships. b) Partial fee waiver of up to 40% of tuition fees is only applicable for international students. c) You can apply to be considered for both scholarship and partial fee waiver, if you are a full-time international student. Application for Master of Public Health 2016 Page 20

21 15) Maintain Referee Details Please provide details of at least 2 references in English from individuals who know you and your work, preferably one of which is your direct supervisor. It is important that you select referees who are able to comment on your abilities in the professional setting. Please use the forms attached in this Information Booklet to send to your referees. Application for Master of Public Health 2016 Page 21

22 16) Submit Application When all required particulars have been entered, you may proceed to submit your application online. a) Click Manage Applications. b) Select the programme for which you wish to submit your application by checking the box. c) Click Proceed to Step 2 (b) (c) d) Click View to display the detailed application instructions for the MPH Programme. Check and ensure that you are able to comply with the required instructions before submitting your application. e) Click Proceed to Step 3 (e) (c) Application for Master of Public Health 2016 Page 22

23 f) A completeness check will be done and any incomplete sections in your application highlighted. Return to the highlighted sections to complete it. g) Once all sections are complete, click Proceed to Step 4 (f) (g) h) NUS requires applicants to understand and acknowledge the statements as listed, and provide additional information if required. After you have determined that you have completed your application, click the Submit button at the bottom. Note: If any changes are required after your submissions, please inform the MPH Office of the changes Application for Master of Public Health 2016 Page 23

24 i) Upon successful submission of your application, your Application Status will be updated as Submitted Online. j) An acknowledgement with your Application Number will also be sent to you. Application for Master of Public Health 2016 Page 24

25 17) Payment a) After your application has been submitted successfully, proceed to pay your application fee. Click Payment followed by Proceed to Pay b) Select the programme and the payment mode. Click Proceed to Pay button. Application for Master of Public Health 2016 Page 25

26 c) You will be re-directed to the enets payment screen. Enter your card details and click Submit Application for Master of Public Health 2016 Page 26

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28 Saw Swee Hock School of Public Health TRANSCRIPT REQUEST FORM 2016 MASTER OF PUBLIC HEALTH BY THE APPLICANT Name of applicant (Dr/Mr/Mrs/Mdm/Miss/Ms)* Name of University [UNDERLINE surname/family name] Date of Birth Date of enrolment (from) (to) Degree and date of conferment TO THE REGISTRAR OR AUTHORISED PERSON The above-named applicant is applying for admission to the Master of Public Health programme at the Saw Swee Hock School of Public Health, National University of Singapore. The School requires all applicants to submit a complete set of official transcripts with their application materials. Without this, the application cannot be considered complete. The transcripts must bear the stamp of your university and the name and signature of the registrar or an authorized person. Please complete this form and place it together with the transcripts in an envelope. Seal the envelope, sign across the seal and return it to the School. If the transcripts are in a language other than English, please provide official translations. Subject to the rules governing your university, the transcripts should include: A. Date of enrolment B. A list of all subjects taken (with dates), and the grades obtained in each subject C. Title of degree awarded and date of conferment D. Rank in class (if any) E. Interpretation of explanation of the grade, marks or scores If a copy of the student s academic records cannot be forwarded, please provide the reasons. As not all grading systems are familiar to us, please include information on your grading system and policy (use a separate sheet if necessary). Please send official transcript to: The Programme Administrator Master of Public Health Programme Saw Swee Hock School of Public Health National University of Singapore Tahir Foundation Building (MD1) Level 10, 12 Science Drive 2 Singapore * Please delete accordingly Application for Master of Public Health 2016 Page 28

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30 Saw Swee Hock School of Public Health PERSONAL STATEMENT 2016 MASTER OF PUBLIC HEALTH BY THE APPLICANT Please submit this form TOGETHER WITH YOUR OTHER APPLICATION MATERIALS. Thank you. Name of Applicant: PERSONAL STATEMENT (if space is insufficient, please use a separate sheet of A4 size paper.) (a) Your current or last held position, role & responsibilities, highlighting the aspects particularly relevant to public health. If you are currently not employed, please provide reasons. (b) The relevance of the MPH programme to your work, your career goals, and how the programme would benefit you and your country: (c) Your goals after the completion of the programme and how it will help you achieve these goals? Application for Master of Public Health 2016 Page 30

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32 Saw Swee Hock School of Public Health REFEREE REPORT 2016 MASTER OF PUBLIC HEALTH BY THE APPLICANT Please complete this section and forward this form to the person who will write your reference. Each reference must be put in a sealed envelope, signed across the seal by the referee and returned to you for submission with your application package. Name of applicant (Dr/Mr/Mrs/Mdm/Miss/Ms)* [UNDERLINE surname/family name] Name of referee Position Name of organisation Address Telephone number Fax number * Please delete accordingly TO THE REFEREE The above-named applicant is applying for admission to the Master of Public Health programme at the Saw Swee Hock School of Public Health, National University of Singapore. The University would appreciate receiving a confidential report from you on the applicant. Please use a separate sheet if necessary. The School requires applicants to submit individual references. Please complete and return this form in a sealed envelope to the applicant, who will forward it, unopened, to the School. When you seal the envelope, please sign across the seal. Please write as fully as you can about the applicant, describing strengths as well as weaknesses. The School is interested in admitting students of outstanding intellectual promise and sufficient preparation to participate successfully in a rigorous professional education programme. Your reference must be in English and typed on your organisation s letterhead and include your signature. 1. How long have you known the applicant and in what capacity/ context? 2. Among the students at a similar level whom you have known in recent years, how would you rate the applicant? (Please select the appropriate box). (a) Within the top 5% (d) Within the top 25 to 50% (b) Within the top 5 to 10% (e) Within the bottom 50% (c) Within the top 10 to 25% (f) Unable to judge Application for Master of Public Health 2016 Page 32

33 3. How many students, and at which level, is the candidate being compared with? (please indicate the number in the space) undergraduate students (please indicate the number in the space) graduate students 4. Please comment on the applicant s career potential and your projection of his or her future success. 5. Please comment on the applicant s academic ability and general suitability to undertake the proposed programme of study, and any other information you consider to be relevant to the application. Application for Master of Public Health 2016 Page 33

34 6. Please assess the applicant in the areas indicated below. We are interested in your comparison of the applicant with his/her peers and colleagues at the same level (Please tick). Unable to comment Marginal (lower 50%) Average (top 50%) Good (top 25%) Excellent (top 10%) Superior (top 3%) A. Intellectual ability B. Analytic frame of mind C. Problem-solving orientation D. Ability / promise as a leader E. Quality of oral expression in English F. Quality of written expression in English G. Motivation and energy H. Leadership I. Organisational ability J. Emotional maturity K. Ability to work with others L. Commitment to public health M. Professional integrity 7. Recommendation (Please select the appropriate box). (a) The applicant has my highest recommendation. (b) I recommend the applicant with confidence. (c) I recommend the applicant with some reservation. (d) I do not recommend the applicant. (Please furnish reasons in a separate sheet of paper.) Referee s Signature and Organization Stamp Date Thank you for your time and effort in completing this reference Application for Master of Public Health 2016 Page 34

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36 Saw Swee Hock School of Public Health APPLICATION FEE FORM 2016 MASTER OF PUBLIC HEALTH * This form is only applicable for MANUAL payments by bank draft or cash PERSONAL PARTICULARS (Please print in BLOCK letters) Name of applicant (Dr/Mr/Mrs/Mdm/Miss/Ms)* (As in Identity Card / Passport) [UNDERLINE surname/family name] Mailing address Telephone number (Please include country and area code) Fax number (Please include country and area code) Mobile number NRIC/ Passport No * Please delete accordingly FOR MPH OFFICE USE ONLY Date: Receipt number: Received sum of SGD/ USD in payment of application fee for 2016 Master of Public Health programme. OFFICE OF FINANCE SERVICES COPY ONLY Name of applicant: NRIC/ Passport No: Amount Received: (inclusive of GST) Faculty/School: Saw Swee Hock School of Public Health Credit to GL account: WBS / C Application for Master of Public Health 2016 Page 36

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38 Saw Swee Hock School of Public Health CHECKLIST 2016 MASTER OF PUBLIC HEALTH Name of Applicant: Please check the boxes as applicable: Medically Qualified Bachelor of Medicine, Bachelor of Surgery (MBBS); OR Equivalent I have the following experience: 1 year of housemanship*/ internship 1 year of clinical experience 1 year of experience related to public health, health administration, occupational and environmental health experience or have entered clinical specialty training (for candidates specializing in clinical epidemiology) OR Enrolled in the preventive medicine residency programme Non-medically Qualified: I have the following experience: 2 years of experience related to public health, health administration, occupational and environmental health or clinical research. * Applicable to Singapore-trained doctors only Checklist of Application documents to be submitted (please attach to your application) Please check the boxes as applicable & attached to your application: Printed Online Application Summary/ Completed Application Form 2 recent passport-sized photographs Certificates for the qualifications stated in the application form For example, MBBS or Bachelor degree scroll Transcripts/ Mark Sheets for the qualifications stated in the application form For example, MBBS or Bachelor degree transcript/ mark sheet TOEFL / IELTS Scoresheet Applicable for all international applicants EXCEPT those whose undergraduate or graduate degrees are from English-medium institutions in Australia, Canada, Ireland, New Zealand, the United Kingdom and the United States. Personal Statement Referee Report from 2 Referees Your referees should complete the REFEREE REPORT and mail a signed hardcopy of their report directly to the MPH Programme Administrator, OR they may send a scanned copy of the signed report via to mph_admin@nus.edu.sg. Alternatively, you may collect the hardcopy from your referees and submit it together with your application. Referee Reports attached to applications must be sealed in an envelope. Unsealed forms attached to application form will not be accepted. Certified True Copy of SMC Registration Certificate (Applicable for Singapore registered medical practitioners only) Documentary proof of financial support Other supporting documents o NRIC (for Singapore Citizens/ Singapore PRs) o Passport (for Singapore PRs/ international applicants) o FIN (for work permit holders and dependant passes) o Curriculum Vitae/Resume o Membership of organisations o Courses attended Non-refundable application fee. Please note that an application without the application fee payment or with insufficient application fee amount will not be processed. Note: All supporting documents photocopied from originals are to be stamped CERTIFIED TRUE COPY & ENDORSED by a responsible person (e.g. school principal, commanding officer, personnel manager, etc).self-attested copies or copies without certification will NOT be accepted. Application for Master of Public Health 2016 Page 38