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Independent Study Course Agreement in the College of Public Healthily of Independent Study:___Course Number:___Semester: ___Year:___Department: ___Credit Hours Request (13 hours):___ Pass/fail:___
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The University of Nebraska Medical Center is a public medical school in Omaha, Nebraska.
All students, faculty, and staff of the University of Nebraska Medical Center are required to file.
The form can be filled out online on the University of Nebraska Medical Center website.
The purpose is to collect important information about students, faculty, and staff for administrative purposes.
Personal information, medical history, and emergency contact information must be reported.
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