ENLISTMENT SURVEY FORM BACHELOR OF SCIENCE IN PUBLIC HEALTH Third Year (SS 2011-2012)

2009-06901
STUDENT NUMBER

REMANESES, JOANNA ISAGRE

STUDENT NAME

PRESCRIBED SUBJECTS* (Based on the Curriculum - New) 1. PH 122 2. PH 152 3. PH 162 4. PH 172 SUBTOTAL: 17 ALTERNATIVE SUBJECTS 1. COMM II 2. COMM III ENG 3. HUM I 4. HUM II 5. HUM III 6. HUM ST 20 SUBTOTAL: 18 GRAND TOTAL: PE SUBJECTS NO ENTRIES FOUND 5 5 3 4

PREREQUISITE SUBJECT Passed Being Taken Yes No Yes No ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___

3 3 3 3 3 3

___ ___ ___ ___ ___ ___

___ ___ ___ ___ ___ ___

___ ___ ___ ___ ___ ___

___ ___ ___ ___ ___ ___

35

In cases where the Dept. offerings are not enough, the CAS-OCS will replace a G.E. course with another G.E./Electives in the curriculum to be taken in the same semester of the following year. IMPORTANT REMINDER: You need to PRINT your encoded ESF, SECURE your Adviser's Signature and SUBMIT it to your unit's OCS to make it valid. Also, KEEP a personal copy for yourself.

____________________
ADVISER (Signature over printed name)

____________________
STUDENT (Signature over printed name)

____________________
DATE

____________________
DATE

* If you failed the prerequisite, see the OCS on the date of release of ACF5.
Prepared on 2011-08-02 20:39:03