PhD Required Forms

Required Forms

The following forms are required for all PHS PhD candidates. You can also find information about due dates on the PhD PHS EH Student Timetable. Submit completed forms to the Department of Environmental Health.

Prospective Program Form – The Prospective Program is a preliminary plan in which students list the formal course work they intend to take in their chosen fields. G1 Due: End of 2nd Semester. G3 Due: End of fall 2.

Final Program Form – Use this form to nominate Preliminary Qualifying Examination (PQE) Committee members as well as to confirm course work taken your field of specialization. G1 Due: Early June of 2nd year. G3 Due: End of 2nd semester following successful completion of the Field of Study written exam

Oral Qualifying Exam Scheduling Form – Use this form to schedule your oral exam. Due: At least 3 weeks prior to your exam date.

Oral Qualifying Exam ReportComplete this form immediately after the qualifying exam meeting. G1 Due: Must be taken and passed prior to end of 5th semester. G3 due: Must be taken and passed prior to the end of the 3rd semester.

Nominations for Dissertation Advisory Committee (DAC) Form  – Use this form to nominate faculty to serve on your dissertation advisory committee. G1 Due: January 15th of the 6th semester. G3 Due: January 15th of the 4th semester.

Progress Report Form – Due every 3 months from the date of the PhD PHS Program oral qualifying exam through dissertation defense date. Due every 3 months from the date of the PhD PHS program oral qualifying exam through dissertation defense date.

Dissertation Defense Scheduling Form – Use this form to schedule your dissertation defense. Due at least 4 weeks prior to defense date. Due: Prior to the end of the 8th semester in accordance with the GSAS. NOTE: it is expected that G3s may complete their dissertation prior to the end of the 8th semester.

Dissertation Defense Results Form – Use this form to submit your dissertation defense result. Due: Immediately upon conclusion of the defense.

Teaching Fellowship Request Form – Use this form to request a Teaching Fellow position. Fellowship Positions are available with the permission of the course instructor. Fellowships may be paid or used to fulfill Teaching Fellow requirements. All PHS PhD students must earn at least 4 Teaching Fellowship credits prior to graduation

Other forms

Change of Advisor Request FormUse this form to request a change of advisor. Review this request with your current Faculty Advisor, future Faculty Advisor, Field of Study Academic Administrator, and PHS Director prior to obtaining the necessary signatures.

Change Area of Specialisation – Use this form to request a change of Major/Concentration/Area of Interest/Track/Area of Specialization.

Course Waiver Form – Use this form to request a course waiver for department/degree program requirements.

Extension Request Form – Use this form to request for funding beyond the fourth year of the program.

General Petition – Use this form to register for over credit, to request an extension for a form extension, to request a scheduling extension of a DAC meeting or to request a committee member attend a meeting remotely.

Independent Study FormUse this form to petition and provide details for an EH 300 Independent Study. Review this form with the instructor sponsoring the Independent Study, your Faculty Advisor, and Barbara Zuckerman, Academic Administrator/ Assistant Director of Faculty and Academic Affairs, and obtain their signatures.

Research Assistant Requirement Form Use this form to allocate RA hours towards the Guaranteed Extended Research Funding.