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Des Moines University

MHA Course Registration

Des Moines University, 3200 Grand Avenue, Des Moines, Iowa 50312 www.dmu.edu

Complete the form below and submit.
Last Name
 First Name
Social Security #

(Dual Degree Students use ID #) 		E-mail
Evening Phone
Day Phone
Birth Date
Day , Year 		Are you a US Citizen
Yes No
Address

City

State

Zip
 Credit preference:
Degree credit
Audit (not-for-credit)
Check if applicable:
DMU Employee
Current DMU Medical Student,
Program and Year

Incoming DMU Medical Student,
Program and Year
 Should you require a grade report for reimbursement from your employer, please submit the following:
Employer Name
Employer Email

Summer 2008 Courses

MHA Courses
Register Course Name Credits Course Type
MHA 1
Workshop 1 forInternship and Capstone 		0 Classroom
MHA2
Workshop 2 for Internship and Capstone 		0 Classroom
Course Full: Please contact the Program Office at 271-1720 to be placed on a wait list. MHA O621
Overview of U.S. Health System 		3 Online
MHAO625
Health Care Financial Management I 		3 Online
MHA C625
Health Care Financial Management I 		3 Classroom
MHA O631
Health Information Systems and Decision Analysis 		3 Online
MHA O644
Health Care Economics and Policy 		3 Online
MHA O645
Health Services Program Evaluation 		3 Online
MHA C646
Entrepreneurship and Strategic Marketing 		3 Classroom
Course Full: Please contact the Program Office at 271-1720 to be placed on a wait list. MHA O650
Basic Statistics and Research 		3 Online
MHA C724
Leadership Seminar Series: Advocacy 		1 Classroom
MHA C725
Leadership Seminar Series: Conflict Resolution in High Performing Organizations		 1 Classroom
MHA O726 Leadership Seminar Series: Virtual Team Action 1 Online
MHA O730
Coding and Reimbursement 		3 Online
MHA C731
Leadership Seminar Series: Leading the Quality Journey 		1 Classroom
MHA C780
Sociology of Aging (formerly GER 720) 		3 Classroom

MPH Courses
MPH 1
Workshop 1 for Internship and Capstone 		0 Classroom
MPH 2
Workshop 2 for Internship and Capstone 		0 Classroom
Course Full: Please contact the Program Office at 271-1720 to be placed on a wait list. MPH O621
Overview of U.S. Health System 		3 Online
MPH O625
Health Care Financial Management I 		3 Online
MPH C625
Health Care Financial Management I 		3 Classroom
MPH O645
Health Services Program Evaluation 		3 Online
Course Full: Please contact the Program Office at 271-1720 to be placed on a wait list. MPH O650
Basic Statistics and Research 		3 Online
MPH C654
Social and Behavioral Sciences 		3 Classroom
MPH O654 Social and Behavioral Sciences 3 Online
Course Full: Please contact the Program Office at 271-1720 to be placed on a wait list. MPH O657 Survey of Human Health and Disease 3 Online
MPH O754 Excellence in Public Health 1 Online
MPH O768 Public Health Policy and Practice: Emergency Preparedness 3 Online

Tuition and Fee Payment Options:


I will send payment
Payment Plan/Employer Agreement – Available by contacting the Accounting Office at 515-271-1473.
I have/will applied for Financial Aid
Personal payment (charge my credit card) provide information below.
Your credit card will not be charged until the first day of each course.
Third-Party payment (someone else's credit card) provide information below.
Their credit card will not be charged until the first day of each course.
Name as it appears on credit card:
 Type of credit card:
Credit card number (no spaces please):
 Your 3 or 4 digit security code number from your card:

Expiration date:
 Amount to charge card:

{ $420 x number of credit hours plus $75 technology fee per trimester) BE SURE to print a copy for your personal records.
By submitting or returning this course registration form, you are agreeing to the current tuition, technology fee charges and the University's registration policies.