INTENT TO GRADUATE FORM

Step I

Completion of this form is required for all School of Public Health masters and doctoral graduation candidates for each graduation term.

Instructions:

  1. Log in to myUTH to view your student ID and current name with UTHealth.
  2. Submit the online Intent to Graduate form below and the Intent to Graduate Signature page (see Step II page after submitting online form) by Monday, February 1, 2021, 11:59pm CST.
  3. Review the requirements for graduation on the graduation page: https://uthealthsph.force.com/UTHealthCommunity/s/graduation-and-commencement

Student Information

Refer to the School of Public Health myUTH Graduation Guide for instructions on confirming or updating personal information.

Year
Term
Student ID Number
Legal Last Name
Legal First Name
Legal Middle Name
Primary Phone #
Alternate Phone #
*Home/Personal Email

All Previous Degrees Earned (Degree letters only, ex. BS, MA, MD)
Current Employment Status with UTHealth

* Do not list your school (@uth.tmc.edu) address. Enter a home/personal email address that will not expire within a year. Make sure the email address is also in myUTH. Your home/personal email address is used to communicate post-graduation information such as diploma delivery and commencement information.


Degree Information

To update academic information, you must submit the appropriate form to the Office of Academic Affairs and Student Services.

MPH: Please choose the Integrative Learning Experience (ILE) you have or will complete.
MS and Doctoral: Select "Not an MPH student"
Dual Degree only:
MS and Doctoral only: Please select minor
Doctoral only:  Please select the second minor OR type in the name of the breadth. Breadth:

MS and Doctoral Only

  1. Review minor and breadth requirements.
  2. List courses (at least nine hours for each minor and/or breadth), see example format below:
    MS: All courses taken for minor
    Doctoral: All courses taken for minor and second minor or breadth

Example of required format for listing minors and breadth courses:
    Epidemiology
    PH 2615 Spring 2017
    PH 2710 Fall 2019
    PH 2800 Spring 2020

Subject, Course no., Semester


Faculty Advisor and Committee Members

MPH Capstone and MPH Independent ILE Project

  1. Select faculty advisor. Do not fill out any other member fields.

MPH Thesis

  1. Select faculty advisor.
  2. Enter only one name for the official supervisor. Either UTHealth or non-UTHealth, not both.
  3. Enter optional committee members.

MS

  1. Select faculty advisor.
  2. Enter only one name for the official supervisor. Either UTHealth or non-UTHealth, not both.
  3. Enter minor representative.
  4. Enter optional committee members.

Doctoral

  1. Select faculty advisor/committee chair.
  2. Enter only one name for the official supervisor. Either UTHealth or non-UTHealth, not both.
  3. Enter all other committee members (minor, second minor or breadth, optional).
  4. Do not enter the external reviewer as a committee member.

Each member listed must be officially appointed with the Office of Academic Affairs and Student Services. Forms are available on the Student Forms page.



Faculty Advisor/ Chair
Thesis/Dissertation Supervisor (One per committee) UTSPH: Non-UTSPH:
Minor Representative (MS and doctoral only)
Second Minor or Breadth Representative (Doctoral only)
Optional Member UTSPH: Non-UTSPH:
Optional Member UTSPH: Non-UTSPH:

DO NOT close this window after submitting the form.

Download required intent signature page on the next page (Step II).

On the next page, print and fill out the Intent to Graduate Signature page. Secure the required signatures and email it to sphgraduation@uth.tmc.edu by the application deadline.