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. 

 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.

Date    Click Here to Pick up the date   
RUIDNumber  *   
Last Name  *   
First Name  *   
Middle Initial    
Preferred Name    
Major  *   
Gender Male Female    
DOB    Click Here to Pick up the date   
Email Address  *   

  Permanent (Home) Mailing Address

Street  *   
City  *   
State  *   
Zip  *   
Home Phone  *   

Local/Campus Mailing Address

Campus Post Office Box    
Ethnicity (optional)    
School  *   
Expected Graduation Month and Year    
Veteran Yes No  *   
Student Athlete Yes No  *   
Filename   *

Please also submit an updated Resume in PDF format.

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