UNC Gillings School of Global Public Health

Office of Continuing Education

Physical Assessment of Adults
Spring: February 20, March 6 and 20, April 3 and 17, May 1, 2013, with onsite practice May 7 and 8, 2013

Items marked with an * are required.

*First Name
Middle Name
*Last Name
*Gender Female Male
*Birthdate MM/DD/YYYY
We ask that you provide your birthdate and gender with the understanding that they will be used only as identification for internal record keeping and data processing operations at the University of North Carolina at Chapel Hill.
Agency
Type of Agency
*Address (line 1)
Business address if applicable, home address if not.
Address (line 2)
*City
*State
*Zip code
*E-mail Address
Job Title/Position
Occupation
*Daytime Phone Area code + number
Fax
Area code + number
Evening phone Area code + number
How did you hear about this program? Brochure
Calendar
E-mail from the Office of Continuing Education
E-mail from another source
This website
Another website
Colleague
Other (specify):
Are you a student, faculty member, or staff member at UNC-CH?  No  Yes 
Are you a graduate of the UNC-CH School of Public Health? No Yes, department: 
Payment
Registration fees
Course dates Fee for health department staff Fee for non-health department staff
Fall: September 18, September 25, October 9, October 23, October 30, 2012
$400 on or before September 4
$450 after September 4
$800 on or before September 4
$850 after September 4
Spring: To be determined $400 on or before February 5
$450 after February 5
$800 on or before February 5
$850 after February 5
Please select the appropriate fee:

Health Department Staff
Early registration fee $400
Late registration fee $450

Non-health department staff:
Early registration fee $800
Late registration fee $850

How do you want to pay? Personal check--please send to the address below.
Agency check--please send to the address below.

Make check payable to NCIPH (NC Institute for Public Health) and send to:

Registrar, Office of Continuing Education
Campus Box 8165
UNC-CH School of Public Health
Chapel Hill, NC 27599-8165

Be sure to include with the check:

  • Name of the program
  • Dates of the program
  • Section number
  • Name of the participant
 
Please note: When you click "Submit Registration " below, you will be taken to a page saying the registration information has been sent. This is NOT a confirmation of your registration. You will receive written confirmation of your registration in the mail. If you have not received a confirmation letter two weeks prior to the program date, call 919-966-3309 or send email to oce@unc.edu to check on the status of your registration.
       
 
 

If you require any of the auxiliary aids or services identified in the American with Disabilities Act in order to participate in this program, please contact the Office of Continuing Education at 919-966-3309.

Admission to School of Public Health programs is without regard to race, sex, national origin, color, religion, handicap, age or veteran's status.

If you have any questions about this conference or registration, please call 919-966-3309 or send email to oce@unc.edu.