Application for Declaration of Undergraduate Major
This application is for students who wish to remain in their primary  
Rutgers New Brunswick unit and declare a Bloustein School major.
Completion of all prerequisites (with a C or better) is required 
 for application consideration.  Please check HERE for prerequisites
and GPA requirements. 
Date    Click Here to Pick up the date   
First Name  *   
Middle Initial    
Last Name  *   
Preferred Name    
Major  *   
Gender Male Female    
DOB    Click Here to Pick up the date   
RUIDNumber  *   
Email Address    

  Permanent (Home) Mailing Address

 
Street    
City    
State    
Zip    
Home Phone    

Local/Campus Mailing Address

 
Street    
City    
State    
Zip    
Phone    
Campus Post Office Box    
     
Ethnicity (optional)    
School    
Expected Graduation Month and Year    
Veteran Yes No  *   

 Please compose an essay 500 words in length on why you are seeking to apply to the majors of Public Health (832), Public Policy (833), Planning and Public Policy (762), Health Administration (501) or Urban Planning and Design (971).
The essay should explain your interest in the major/subject, your career goals and how you think The Bloustein School can help you achieve them.  Please submit file in PDF format.

 
Essay
Filename   *
 
 

Please also submit an updated Resume in PDF format.

 
Resume
Filename   *
 
 

 By clicking on the "I agree" button below, I understand that any misrepresentation of statements or on documents included with this application may be cause for denying or revoking admission.

 
I Agree I Agree  *   
bullet - Required field