Academic Course
Schedule of Courses (Course Registration)
Word (view Sample)
Note: This registration form must be submitted no later than the morning of the registration deadline to the Office of Student Affairs. Original signatures of the student and the advisor are required on this form.
Please note the deadlines for courses changes listed on the Academic Calendar at: http://publichealth.lsuhsc.edu/AcademicCalendar.html
Student Health
Blue Student Health Form
Note: This Student Health Form must be submitted to the Office of Student Health Services for processing prior to the first day of class. Louisiana State Law requires submission of these immunization records prior to class attendance.
Business Office Registration Forms
Student Accident and Sickness Form
Note: This Student Accident and Sickness Form must be submitted during the fall registration period. Deliver it to the Office of Student Affairs with your registration form. Any question regarding these fees should be directed to Rae Lynne Osborne, Business Manager – to rosbor@lsuhsc.edu or by phone to 504/568-4687.
Supplemental Plan Form
Note: This Supplemental Plan Form must be submitted during the fall registration period. Deliver it to the Office of Student Affairs with your registration form. Any question regarding these fees should be directed to Rae Lynne Osborne, Business Manager – to rosbor@lsuhsc.edu or by phone to 504/568-4687.
Authorization for the Use of Title IV Funds
Note: This Authorization for the Use of Title IV Funds Form must be submitted during the fall registration period. Deliver it to the Office of Student Affairs with your registration form. Any question regarding these fees should be directed to Rae Lynne Osborne, Business Manager – to rosbor@lsuhsc.edu or by phone to 504/568-4687.
For any questions regarding tuition or fee bills please contact Rae Lynne Osborne, Business Manager – by email to rosbor@lsuhsc.edu , by phone to 504/568-4687 or directly in person at 533 Bolivar St, Rm 265.
Optional Fees Form
This Optional Fee Form must be submitted during the fall registration period. Deliver it to the Office of Student Affairs with your registration form. Any question regarding these fees should be directed to Rae Lynne Osborne, Business Manager - rosbor@lsuhsc.edu or by phone to 504/568-4687
Practice Experience Forms
Practice Sites Description
List of available sites
Memorandum of Understanding
Note: This form requires three signatures. It must be completed and turned into your Practice Placement Coordinator prior to beginning your practice experience.
Practice Experience Information
Note: this report must completed and signed by all three parties and returned to your Practice Placement Coordinator prior to beginning your practice experience.
Practice Experience Preceptor Report
Note: this report is to be completed and signed by the preceptor at the completion of the practice experience. It is to be sent directly from the preceptor to the Practice Placement Coordinator. This portion can be mailed or faxed to the following address and number:
LSUHSC School of Public Health
1615 Poydras Street
Suite 1400
New Orleans, LA 70112
Practice Experience Student Report
Note: This report is to be completed at the completion of the practice experience by the student. It must signed and turned in to your Practice Placement Coordinator.
New Practice Site Form
Thesis Defense Forms
Request for Thesis Defense
Note: This form must be completed and a copy of the Dissertation/Thesis Abstract must be received by the School of Public Health two weeks prior to the defense date. Copies of the Dissertation/Thesis must also be circulated to the examining committee at that time. This form must be submit to the Office of Student Affairs in order to schedule your final defense.
Thesis Final Defense
Note: This form must be completed and submitted following the final defense presentation to the Office of Student Affairs.
