DECLARATION OF INTENT TO PURSUE COMBINED MD MPH DEGREES Preview on Page 1

DECLARATION OF INTENT TO PURSUE COMBINED MD MPH DEGREES 2026

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  1. Click ‘Get Form’ to open the DECLARATION OF INTENT TO PURSUE COMBINED MD MPH DEGREES in the editor.
  2. Begin by entering your full name in the designated field. This is essential for identification purposes.
  3. Next, input your UAMS/GUS Student Identification Number. This number helps track your application within the university system.
  4. Indicate whether you will first enroll in the MD or MPH program by selecting the appropriate option from the dropdown menu.
  5. Fill in the date of enrollment for your first program and provide an anticipated date for enrollment in the second program.
  6. Type your name in the signature field as a digital acknowledgment of understanding and acceptance of the program requirements.
  7. Finally, ensure all fields are completed accurately before submitting your form to both colleges for approval.

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