McGill University
School of Population and Global Health
Epidemiology, Biostatistics and Occupational Health
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MScPH Practicum Interests Questionnaire
Name
*
Student ID number
*
Telephone Number
Email address
French Language Skills (spoken)
*
- Select -
None
Beginner
Intermediate
Advanced
Fluent
French Language Skills (written)
*
- Select -
None
Beginner
Intermediate
Advanced
Fluent
Other languages
Areas of Interest: (please select all that apply)
*
Infectious disease
Non-communicable diseases
Aboriginal health
Global health
Program development and evaluation
Health policy
Health economics
Health systems
Other Areas of Interest:
I would prefer to have a practicum that gives me the opportunity to do: (please select all that apply)
*
Qualitative research
Policy analysis
Data analysis
Literature reviews
Program evaluation
Program development
Knowledge translation
Public health ethics
Surveillance
Data management
Other Activities:
Do you have a particular practicum placement site or geographical area that you would like to explore? Please explain.
Special circumstances:
Considerations for Planning
Describe how your previous experiences (employment, volunteer and internships) will contribute to your practicum.
Discuss the strengths and skills that you will bring to your practicum.
Describe what knowledge and skills you hope to acquire during your practicum.
Describe the learning environment and the instruction/supervision styles in which you learn best. (E.g., I like to work independently, I prefer constant supervision, I learn best in a teamwork setting)
Identify your short term and long term professional goals.
Consent
By submitting this form: I hereby authorize the department of Epidemiology, Biostatistics and Occupational Health to release information provided in this form as well as my CV to potential practicum host sites and supervisors.
I consent
Yes
No
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