1976 GRADUATE SUMMER SESSION IN EPIDEMIOLOGY

MAR 4 1976

School of Public Health
Epidemiology

APPLICATION FOR ADMISSION

June 20-July 10, 1976

NOTE: PRINT USING INK

1. Name ANNA BALTIC LAWLER
First Middle Last

2. Exact Title GRADUATE STUDENT 3. Department

4. Employer 5. Office Phone

6. Office Address
No. Street City State Zip

7. Home Address 768 LOWER COLONIAL DR. ST. PAUL, MN 55118
No. Street City State Zip

8. Home Phone 457-6493 9. Sex FEMALE 10. Date of Birth 4-3-28

11. Teaching Activities

School or Agency	Subject	Types of Students	Hours Per Year
NONE

12. College, University, and Professional Education

School	Major	Degree	Year
BALTIMORE OF MEDICINE WAYNE STATE UNIVERSITY DETROIT, MICH	MED. TECH.	B.S.	1951

13. Professional Experience (Start with Present Position)

Employer	Position	Duty	No. of Years
DETROIT REG'L. HOSPITAL	MED. TECH	SUPERVISOR, BLOOD BANK	10

14. Have you had any graduate level courses in statistics? Yes No

Course Title	Hours	School	Year Taken
VITAL STATISTICS	3	UNIV. OF MN	1974
CLINICAL TRIALS	6	UNIV. OF MN	1974-75
BIOMETRY	12	UNIV. OF MN	1975-76

15. Have you had any graduate level courses in epidemiology? Yes No

Course Title	Hours	School	Year Taken
BEGINNING EPID.	3	UNIV. OF MN	1975
INFECTIOUS DIS EPID	3	"	"
CHRONIC DIS EPID	3	"	"

OVER

Source: https://www.industrydocuments.uscf.edu/docs/hmp0227