Application for Second Exam
Note: Application for second exam should be reviewed by the Department Chair or Committee Chair before being submitted via this form. Once submitted, all applications are reviewed for final approval by the Department Chair.

In order to apply for the second exam, student must have: passed the first exam and successfully completed all required and elective courses (with the exception of PUBH 816, PUBH 898, and PUBH 900); maintained a cumulative GPA of 3.0 and has not accumulated more than two open grades; and is making satisfactory progress? (See guidelines on satisfactory progress for DPH students in SPH Academic Policies.)

Student Last Name:
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Student First Name:
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Student EMPL ID:
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Student E-mail Address:
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Student Concentration:
Name of Committee Chair:
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Name of Committee Member #1:
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Name of Committee Member #2 (if outside GSPHHP, include affiliation and e-mail address):
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Include your two proposed content topics below:
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Include your two proposed methods topics below:
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Along with this application, submit a one page summary of your proposed dissertation topics and methods to dropbox link below.
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