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Health Education PhD Forms

This page contains all forms needed for you to complete your doctoral degree. Most forms are fill-able PDF, but may not appear to be depending on your browser.  Consult with your advisor or the Graduate Director should you have any questions.

You will need Adobe Reader to view and fill out the forms.  It can be downloaded for free at the Adobe Reader site.  


Program of Study (2 Copies)

Lists requirements of the program, as well as sequencing of coursework
Timeline: After Committee is Formed...PRIOR to Prelims.

Prior to 2010


Student Doctoral Committee Form (2 copies):

Use this form to identify who will serve on your doctoral committee. Be sure to indicate whether the person can 'direct' dissertation or whether they are 'regular' graduate faculty. Those who are adjunct will need a letter from your chair to the departmental graduate director requesting such permission. In addition, this person's vitae needs to accompany the request.
Timeline: Before one earns 20 hours


Program Change Form (2 copies):

This form allows the student to make modifications or changes to their program of study. After completion, give this form to the Departmental Graduate Director.


Admission to Candidacy Form (2 copies): 

This form is completed after the student has successfully passed all sections of their preliminary examination. After completion, give this form to the Departmental Graduate Director.
Timeline: After passing prelims, before beginning Dissertation.


Pre-Prospectus Approval Form (2 copies): 

This form must also be signed by the chair and all committee members at least 14 days prior to the prospectus. It indicates that the committee member has received a copy and gives permission for the student to have their prospectus. All signed copies must be given to the Departmental Graduate Director.
Timeline:14 days prior to one's prospectus.


Prospectus Approval Form (2 copies): 

This form is filled out by the student and/or chair prior to prospectus. Committee members sign the form if the student has had a successful prospectus. Turn signed copies to the Departmental Graduate Director, who will then forward it to the appropriate channels.
Timeline:After successful Prospectus


Pre-Dissertation Approval Form: (2 Copies)

This form must be signed by the chair and all committee members at least 14 days prior to the defense. It indicates that the committee member has received a copy and gives permission for the student to have their defense. All signed copies must be given to the Departmental Graduate Director.
Timeline: 14 days prior to one's defense


Ph.D. Oral Defense (2 copies on white bond): 

Student will complete this form prior to the defense. Please provide these completed forms to your chair prior to your defense. Note, you may want to have additional copies.
Timeline:At Defense


Dissertation Approval Form (2 copies on White Bond): 

This form should be prepared ahead of the defense and be given to the chair of the committee at the beginning of the defense. This will be placed in the front of the dissertation after the final changes have been made. The chair of the committee keeps these forms until the final changes are made.
Timeline: At Defense


Dissertation Evaluation Form: (5 Copies) 

(one copy for each committee member) This form is to be prepared prior to the defense. Include all pertinent information (name, faculty evaluator, date, etc.). Please provide these completed forms to your chair prior to your defense. Chairs--all completed forms should be turned into the Departmental Graduate Director immediately after the Defense.


Graduate School Graduation Form:

Student who plan to graduate in a particular semester are required to complete this form and turn it into the graduate school. Note...if graduation does NOT occur in that semester, the application will roll-over to the next semester until graduation requirements have been met. Note:New Policy for Dissertation -- PhD students in health education now have a chance to select either AMA or APA format for their dissertation (with consultation of their chair and committee).
Timeline: Due in the Graduate School by end of 2nd week