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Registration
is currently closed for MiniMed.
Mini-Med
School Application Form
Tuition:
$100.00
Optional Meal Plan: $25.00
You
may initiate registration by submitting this form. You will
be contacted confirming registration and receipt of payment.
You can also print this page and make a check or credit card
payment to:
NJMS Institute for
the Public Understanding of Health and Medicine
(NJMS-IPUHM)
Printed
registration forms should be mailed or faxed to:
Ms.
Stefanie L. Napolitano
UMDNJ-New Jersey Medical School
Office of Special Programs
185 South Orange Ave., MSB B-624
Newark, NJ 07101-1709
Phone:
973-972-9074
Fax: 973-972-3768
napolist@umdnj.edu
*Please
note that payment is REQUIRED before the first class.
We accept
Visa or MasterCard for payment.
Please
enter your credit card number:
Please
enter the expiration date:
Month
Year
Please
type the name as it appears on your card below:
I wish to purchase the optional meal plan
for an additional $25.00
Attention:
Once you select the button below, you have applied to the chosen
certificate program and your credit card will be charged. This
is a nonrefundable fee. Do not select the button below
unless you want this to be done.
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