Johns Hopkins/IIHMR MPH Program

Pre-Screening Questionnaire for Admissions

Dear prospective MPH aspirant,
Pre-screening of applicants for admission to the Johns Hopkins University IIHMR MPH Program is a critical step
in deciding the eligibility for admission. You are expected to fill up the Pre-screening Questionnaire and send to
MPH Coordinator at mph@iihmr.org . Based on the information provided, you will be informed your eligibility. If
eligible, you will be required to complete online application (Procedure will be communicated to you).

1. Are you a citizen of India?

Yes

No (If No, go to Q2)

2. Which country do you hold citizenship for (name of country)?

_____________________________

3. Which country do you currently reside in (Country name)

_____________________________

4. Have you completed at least one high school/ college level course in the following subjects? (Please mark )

D
D

Mathematics
Microbiology/ Biotechnology

D
D

Biology / Zoology/ Botany

Bio- Statistics / Statistics

4. Do you have a degree beyond a bachelors degree?

D
D

Nutrition
Anatomy/ Physiology

D Yes D No

5. List educational institutions you studied (graduation and above).

Degree

Year

Subject/Area

Institution/University

6. Whether English was the primary language of instructions graduation degree?

Yes

No

7. Do you have health-related work experience of minimum 2 years?

Yes

No

8. Have you taken IELTS or TOEFL?

Yes

No

9. Have taken GRE or GMAT?

Yes

No

10. Please provide your following details:

Name :
Date of Birth
Address:
Contact No. :
E.mail:
Contact Us
MPH Coordinator
Institute of Health Management Research,
1, Prabhu Dayal Marg, Sanganer Airport, Jaipur - 302 011
Phone: 91-141-3924700, Fax: 91-141-3924738
E-mail: mph@iihmr.org URL: www.mph.iihmr.org
Please send your CV or Resume along with Pre-Screening Questionnaire to mph@iihmr.org