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Master of Public Policy Program c/o Edith Simms
 

Summary: Master of Public Policy Program
c/o Edith Simms
Director of Admissions & Student Affairs
Varsity Hall
136 Hospital Drive
P.O. Box 400893
Charlottesville, VA 22904-4893
APPLICATION FOR MASTER OF PUBLIC POLICY PROGRAM
1. University ID Number: _____________________
2. Legal Name: ____________________ ______________________ ___________ _________
Last First MI Suffix
3. Email: ______________________ 4. Birthdate: ____/____/____ 5. Gender: _________
Mo. Day Yr M/F
6. Permanent Address: ______________________________________________________________
_______________________________________________________________________________
__________________________ ________ __________ ____________________________
City State ZIP Telephone (Home)
7. Present Address: _________________________________________________________________
_______________________________________________________________________________
__________________________ ________ __________ _______________________

  

Source: Acton, Scott - Department of Electrical and Computer Engineering, University of Virginia

 

Collections: Computer Technologies and Information Sciences