Application for Dissertation Proposal
Note: In order to advance to Level III, students must submit an Application for Dissertation Proposal via this page, and a completed Program of Study Worksheet (to be e-mailed to your faculty advisor who must submit the signed & dated form to the Office of the Registrar). For Program of Study Worksheets, see:
https://sph.cuny.edu/academics/forms/
Applications for dissertation proposal are approved by Department Chairs. Program of Study Worksheets are approved by the Registrar's Office.
* Required
Student Last Name:
*
Your answer
Student First Name:
*
Your answer
Student EMPL ID:
*
Your answer
Student E-mail Address:
*
Your answer
Student Concentration:
*
Community, Society and Health
Environmental and Occupational Health
Epidemiology
Health Policy and Management
Dissertation Proposal Title:
*
Your answer
Name of dissertation committee chair :
*
Your answer
Name of dissertation committee member #1:
*
Your answer
Name, affiliation, and e-mail of dissertation committee member #2 (outside CUNY SPH):
*
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
