New York University Steinhardt School of Culture, Education & Human Development
Department of Nutrition, Food Studies and Public Health
APPLICATION FOR DPD VERIFICATION
A VERIFICATION STATEMENT is provided to B.S degree students who complete the undergraduate Didactic
Program in Dietetics (DPD courses at New York University.
Graduate students who do not have prior verification from an Academy of Nutrition and Dietetics accredited program are also eligible for DPD Verification form NYU if they have taken a minimum of 15 NYU credits.
* If you are a graduate student and you did NOT do your undergraduate degree at NYU, you are required to pay a processing fee of $25. Cash or check (made out to the department) is acceptable (see bottom of this page).
If we do not have one of your official transcripts from another school, the evaluator will contact you and YOU must request it from the school you attended and provide it to the evaluator. If you are currently enrolled in a course at another institution, please make not on the bottom of this from indicating the institution and class. Make sure to send us an official copy of your transcript once your grade has been posted.
*If you are applying to DICAS the DPD Director is Charles Mueller
Applicant’s Name: Date of Birth:
Applicant’s Maiden Name: Mother’s Maiden Name:
NYU Univ ID: Email Address:
Mailing Address:
Home Phone #:
Are you matriculated for a degree at NYU? Yes
If yes, in which curriculum? HONF-RDS (B.S)
Did you complete all DPD courses at NYU? Yes
No
HOND (M.S)
No
Work Phone #:
Other
If not, what other schools did you attend? (Please attach any transcript not sent to Graduate Admissions)
1.
2.
Are you applying for a dietetic internship? Yes No When?
Please note that you will receive 3 hard copies of your DPD verification or letter of intent if you would additional copies; please indicate the total amount here:
If you are receiving a letter of intent (i.e if you are currently taking DPD courses or plan to complete them next semester), please not that you will be required to come to the department to sign them before picking them up.
If you have completed all DPD courses and are receiving a DPD verification, do you want it held for pick-up? or sent to your mailing address?
Please make your check payable to: NYU Nutrition, Food Studies & Public Health
Bring to the department or mail to:
NYU Nutrition, Food Studies and Public Health
ATTN: Steven Ho
08/06/15

411 Lafayette St. 5 th Floor
New York, NY 10003
08/06/15