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, June 1, 2020, 11:59pm CDT.
  3. Review the requirements for graduation on the graduation page: https://sph.uth.edu/current-students/graduation

Commencement: Summer 2020 graduates will be allowed to participate in the fall 2020 ceremony that was postponed from last spring. The date and other details will be provided as soon as they are available.


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

* List a non-UTHealth email address that will not expire within a year. Your home 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 only: Please choose the Integrative Learning Experience (ILE) you have or will complete.
Dual Degree:
MS and Doctoral only:  Minor
Doctoral only:  Please select the second minor OR type in the name of the breadth. Breadth:

MS and Doctoral Only

Include name of minors and/or breadth, course subject, course number and semester course was taken. At least nine hours of coursework are required in each.

Example:
    Epidemiology
    PH 2731 Spring 2017
    PH 2800 Fall 2017

Subject, Course no., Semester



Faculty Representatives



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.

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.