HIM: Interest in Minor

If you are currently enrolled as a student on the KU Lawrence campus, please do not complete this form. Instead, you should submit the change of major/minor/certificate form.

Your Name*

First NameLast Name

Your Email*

Please select program(s) of interest

Minor in Digital HealthMinor in Health Care Management

KU Student ID #*

Overall GPA*

Your Degree/Major*

School*

On which campus(es) are you currently taking classes?*

KU Lawrence campusKU Edwards campusKU Medical Center

Please provide a statement of purpose explaining your interest in and goals related to completing a minor in digital health or a minor in health care management (limit 1000 characters)*

Are you proficient using technology and applications, including Microsoft Office (e.g., Word, PowerPoint, Excel, etc.) and BlackBoard?

YesNo

To prevent spammers, please enter the characters*