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16. Courses in which you wish to enroll: (Please read instructions carefully and check the appropriate boxes).
A.M. Schedule
Fundamentals of Biostatistics M-T-W-Th-F.
If you have selected this course, do not select the following morning courses:
Alternate
Principles and Methods of Epidemiologic Research T-Th-S
X_Epidemiology of Occupational Hazards T-Th-S
and
Epidemiology of Cancer M-W-F
or
X_Epidemiology of Cardiovascular Diseases M-W-F
P.M. Schedule
Fundamentals of Epidemiology M-T-Th-F
If you have selected this course, do not select the following afternoon courses:
Alternate
X Health Services Planning and Evaluation T-Th
or
Epidemiology of Injuries T-Th
and
Infectious Disease Epidemiology M-W-F
or
X _ Epidemiology of Nutritional Diseases and Abnormalities M-W-F
17. Please make the following room reservation for me:
X Middlebrook Hall (Two in a room, twin beds) Arrive
6/19/76 Depart
7/10/76
18. Signature of Applicant Soberzen
Date _3/4/76
19. I approve of this application funand - key
Leonard T. Kurland, M. bDepartment Chairman or Adviser
Send this form with check for $25.00, made payable to the University of Minnesota, to: Dr. Leonard M.
Schuman, Program Director, Epidemiology Summer Session, Division of Epidemiology, Room 1-117 Unit A,
Health Sciences Building, University of Minnesota, Minneapolis, Minnesota 55455.
APPLICATIONS MUST BE RECEIVED BY MAY 17.
The University of Minnesota adheres to the principle that all persons shall have equal opportunity and access
to facilities in a phose of University activity without regard to race, creed, color, sex, age or national origin.
Under this principle, educational, cultural, social, housing, extra curricular and employment opportunities are
available to all on an cqual basis.

Answer the question using only the OCR text from a single document page. Return only the answer, with no explanation. Preserve the answer wording from the OCR text when possible.