Rochester Clinical Research Curriculum

Request Form

To have application materials mailed to you, please e-mail us at CPM_Admissions@urmc.rochester.edu or fill out this form.

Please be sure to include the following information in your e-mail or letter

First Name:		Last Name:
Street Address:
City:
State:
Zip:
Telephone:
E-mail:
Year in School:	Freshman Sophomore Junior Senior
If you are a college graduate, are you currently employed in a health related field?			Yes No
Programs which you would like information about (i.e. MPH Generalist track, MPH Clinical Investigation track, MD/MPH, MBA/MPH, PhD, RCRC, Postdoctoral Program)
Where did you hear our program?

If you have other questions, reach us at (585) 275-7882, or send regular mail to:

Director of Graduate Studies
Department of Community and Preventive Medicine
University of Rochester
601 Elmwood Avenue, Box 644
Rochester, NY 14642