MCH Admission – UCLA Center of Excellence in Maternal & Child Health

ELIGIBILITY

Prior admission to a masters or doctoral program at UCLA
Statement of Purpose - must outline career goals in maternal and child health
Curriculum Vitae
Unofficial Transcript
2 Letters of Recommendation - must be from former or current supervisors, mentors, and/or professors

Which training program are you applying for?	Which training program are you applying for?MCH Training Program (for any graduate-level student)EPI Doctoral Program in MCH (doctoral students only)
First Name
Middle Initial
Last Name
Phone	Your primary contact number
Email
Address
City
State
Zip Code
Date of Birth
Citizenship Status	Citizenship StatusUS CitizenPermanent ResidentInternational Student - F1 visa Other:
Race	RaceWhiteBlack/African AmericanNative American or Alaskan NativeNative Hawaiian or Pacific IslanderAsianOther
Ethnicity	EthnicityHispanicNon-Hispanic
Gender	GenderFemaleMaleNon-Binary/Third GenderPrefer Not to Say other:
Academic Department
Estimated Graduation Date (Quarter YYYY)
STATEMENT of PURPOSE	Please state why you believe you are an ideal candidate for the MCH Training program or the MCH Epidemiology Doctoral program and what you hope to achieve by the end of this program. Please make sure your name is on the document you upload.
CURRICULUM VITAE	Please UPLOAD your curriculum vitae.
TRANSCRIPT	Please UPLOAD your most current, unofficial transcript
TWO Letters of Recommendation	I understand I will have 2 Letters of Recommendation sent to Angela Reyesi TWO Letters of Recommendation (LOR) from current/former professors or supervisors are required. LORs must be sent directly to MCH Training Director, Angela Reyes (aareyes@mednet.ucla.edu)
I am NOT a robot.	6 × 1 = ?