Time Extension/Degree Completion Request (please complete a form for each course you are requesting time extension for)
Note: All matriculated students who have exceeded the time limit allowed for the completion of their degree (5 matriculated years for master's degree students and 8 matriculated years for doctoral degree students) are required to complete this application for a time extension of one calendar year. Time extension/degree completion requests must be completed by the student and approved by the Department Chair and Associate Dean for Academic Affairs. You will be notified of the outcome of your request via e-mail.
See the GSPHHP academic policies for more information.
Student Last Name:
Student First Name:
Student EMPL ID:
Student E-mail Address:
Student Phone Number:
MPH - Community Health Education (CHASS Department)
MPH - Public Health Nutriton
MPH - Environmental & Occupational Health Sciences
MS - Environmental & Occupational Health Sciences
MPH - Health Policy & Management
MPH - Epidemiology & BIostatistics (Epidemiology track)
MPH - Epidemiology & Biostatistics (Biostatistics track)
DPH - Environmental & Occupational Health
DPH - Epidemiology
DPH - Health Policy & Management
DPH - Community, Society & Health (CHASS Department)
Advanced Certificate in Public Health
Course number, course title, and number of credits
If you took a leave of absence, please enter the semesters/years of that leave below:
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