Enrollment Confirmation Followup

Greetings from the Rollins School of Public Health and welcome to our Enrollment Confirmation form!

Please use the form below to provide us with additional information regarding your decision to enroll at Rollins.

Feel free to contact us at sphadmissions@emory.edu if you have any questions.

* indicates required fields

Student ID Number*

Application Number*

First Name*

Last Name*

Email Address*

Department/Program*

Please indicate your dual program of study, if applicable.

Dual Degree Program Status

Will you be attending this Fall?*

Enrolling

Deferring Enrollment

Please indicate your reason for selecting Rollins.*

Please indicate your reason for deferring enrollment.*

Please indicate your deposit method.

Electronic (OPUS options or wire transfer)

Mailed a check or money order in U.S. dollars

Please use this space for any additional information related to your decision.