To be completed by CHHS undergraduate and graduate students with a student request such as Academic (total or partial) Withdrawl, Study Elsewhere, etc. Please send the completed form with your written narrative, and third-party documentation in an envelope to your academic advisor.
For graduate students who would like to change their concentration within their current program of study to a different concentration within the same program of study, e.g. MPH-Global and Community Health to MPH-Epidemiology. Please consult with your academic advisor prior to submitting this form.
Required form for graduate students planning to take practicum. Form must be accompanied by a list of three learning objectives, a job description, and work schedule. The form must be signed by the student, site supervisor, and practicum faculty instructor.