Online Health Care Compliance Certificate ApplicationAdmission Requirements: Applicants for admission to the Online Health Care Compliance Certificate Program at Mitchell Hamline School of Law’s Health Law Institute must have earned an undergraduate degree from an accredited institution of higher education, with a cumulative grade point average (GPA) of 3.0 or higher. Applicants with an undergraduate GPA of less than 3.0 may still be considered and admitted based on other admission criteria, including professional experience, graduate coursework, and a personal interview conducted by the Program Director.Name*FirstLast*LastEmail*Last 4-digits of Your Social Security NumberPhone Number*Address*Address Line 2City*State*ALAKARAZCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMHMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWYOutside of the USStatePostal Code*Country (If outside of the US)Anticipated Certificate Completion DateDate of Birth*Gender Male Female Other Prefer not to sayWhich start date are you applying for? *August 2024 (Fall Semester)January 2025 (Spring Semester)Personal Statement*Drop a file here or click to uploadChoose FileMaximum file size: 22.53MBPlease submit a 1-2 page personal statement detailing why you have selected the Health Law Institute’s Health Care Compliance Certificate Program, how the program will help you meet your career goals, and which areas are of most interest to you and why.Resume*Drop a file here or click to uploadChoose FileMaximum file size: 22.53MBPlease submit a resume highlighting your educational and work experience.Letter of Recommendation*Drop a file here or click to uploadChoose FileMaximum file size: 22.53MBPlease submit one letter of recommendation from an employment supervisor or professor.Official transcripts from all colleges and universities from which you have graduated must be submitted. Please mail your official transcripts to: Mitchell Hamline School of Law, Health Law Institute, 875 Summit Avenue, St. Paul, MN 55105. You can also have them emailed to healthlawinstitute@mitchellhamline.edu* I will submit my official transcript(s) to Mitchell Hamline.Are you planning to take certificate courses under a consortium agreement?* Yes NoWhat is the name of your home school? (if applicable)Are you planning to take the Certified in Healthcare Compliance (CHC) Exam upon completion of the Certificate?* Yes No Not sureHow did you hear about the Health Care Compliance Certificate Program?* Mitchell Hamline Website Compliance Certification Board Website Website Advertisement (please share which ad)Website Advertisement (please share which ad) Word of Mouth Brochure/Postcard Employer Conference Exhibit OtherOtherApplicants admitted to the program will be required to pay a non-refundable program deposit of $250 that will be applied to your first course tuition charge. Please acknowledge you understand this below by typing your name.*