Important Forms

This website includes links to most of the important forms that you may need during your time at the School of Public Health and Health Services. Most of these forms require a Dean's signature. You do not need to acquire this signature yourself. After you submit the form, it will be automatically routed to the Associate Dean for Student and Faculty Development (Dr. Hunting) for review and approval.

Registration Transaction Form (submit to Student Records, Ross 222) Use this form when you cannot register online using GWeb. See "How to Register" for details on using the GWeb system, and for guidance on circumstances in which the Registration Transaction Form (RTF) must be used instead. Submit the completed RTF to Student Records, Ross 222.

Request for Certification for Half-Time / Full-Time Student Status (Graduate Students Only; submit to Student Records, Ross 222) Certification for graduate student financial aid is based upon total number of credit hours for which you register in a given semester. Half-time status requires being registered for 5-8 credit hours; students registered for 9 credit hours or more are considered full-time. Students registered for fewer than the requisite number of credit hours may be approved for half-time or full-time certification if they are working on their special projects, dissertations, residencies, internships, or practicums, or are preparing for comprehensive exams. Note: This form is not to be used by international students on F or J visas. Please visit the International Services Office website for the correct form.

SPHHS Graduate Independent Study Course Description & Form - This course is designed to provide the student with an opportunity to gain or enhance public health knowledge and to explore an area of interest related to public health research or the delivery and/or administration of health services.

SPHHS Undergraduate Independent Study Policy and Form - This course is designed to provide the student with an opportunity to gain or enhance public health knowledge and to explore an area of interest related to public health research or the delivery and/or administration of health services.

Professional Enhancement Form (submit to Student Records, Ross 222) Professional enhancement activities supplement your academic curriculum and help prepare you to participate actively in the professional community. Students in all SPHHS degree programs who matriculated in the 2003 Fall semester or later are required to attend eight hours of professional enhancement activities. Students must meet this requirement before applying to graduate. Download the form to learn more about this requirement and procedures for documenting your professional enhancement activities.

Emergency Loan Form The SPHHS has an emergency loan program for students who are having short-term cash-flow difficulties. To apply, stop by Ross Hall 221 and see Mallory Boyd or Jim Miller.

Complete Withdrawal Form (submit to Student Records, Ross 222) If you wish to withdraw from the University (including all of your courses) and do not plan to return to GW to complete your degree, you must complete this form and submit it to the Office of Student Records (Ross 221) for processing. GW also asks that withdrawing students complete an exit survey; undergraduate students click here for the survey, and graduate students click here. To ensure that your withdrawal is complete, make sure that you contact all offices that need to be informed of your leaving; failure to do so may result in your incurring additional expenses. The Complete Withdrawal Form includes a partial list of these offices.

Application for Graduation (submit to Student Records, Ross 222) This form should be submitted at the beginning of your final semester but no later than the following deadlines:

• February 1 - for students completing degree requirements in the spring semester and for summer graduates who are eligible to participate in May Commencement as "walk through" candidates.
• July 1 - for students completing degree requirements in the summer sessions.
• October 1 - for students completing the degree requirements in the fall semester.

Practicum Equivalent Experience

Request a Waiver of the MPH Practicum (submit to Prof. Donna Caruso, SPHHS Practicum Coordinator, Ross 106) MPH students with substantial public health experience relevant to their department/track may request to waive the MPH Practicum and substitute elective credits. Prior to matriculation, applicants must have completed more than three years of relevant, full-time, public health experience in which they can demonstrate application of at least one track-specific competency. To request a waiver, complete the Practicum Equivalent Experience Application. Obtain approval from your Practicum Director and Academic Advisor, and then submit to Prof. Donna Caruso, SPHHS Practicum Coordinator, in Ross 106. You must submit this application during your first semester of enrollment.

Other Practicum Resources

• CITI Training Instructions
• FAQ - Student
• Final Student Evalutaion Form
• Handbook - International
• Midpoint Evaluation Form
• Practicum Project Application
• Practicum Site Application
• Site Preceptor Flowchart
• Student Practicum Guidebook
• Student Practicum Plan
• Student Profile
• Table of Practicum Requirements

Petitions

When you wish to do something that requires an exception to GW or SPHHS policies and regulations, or that represents a change in your program of study, you must file a petition. There are separate petitions for undergraduate and graduate students.

The SPHHS Graduate Petition (.pdf) (MS Word) Graduate students can use this form for either Admissions Petitions or Student Records Petitions.

Admissions Petitions are submitted to:

• Waive an "Additional Course"
• Transfer Graduate Credits to GW Graduate Transcript Before Enrolling
• Transfer Credits from Non-degree to Graduate Transcript
• Add Certificate to Degree
• Change Degree Program
• Change Program/Specialization
• Change from Certificate to Degree
• Change from Degree to a Certificate
• Apply for Readmission

Here's what you need to do:

• Complete the petition, offering as much detail as possible.
• Return the petition electronically to Emily Rhineberger at sphehr@gwumc.edu with any other required attachments.

The Office of Admissions will process your petition by electronically referring it to the appropriate faculty member(s) and then returning it to you with the decision.

Student Records Petitions: These are submitted to:

• Waive a required course
• Substitute a course for a required course
• Attend two schools simultaneously
• Transfer graduate credits to the GW graduate transcript
• Register for continuous enrollment versus continuous research
• Extend the time limit for graduation
• Request a leave of absence
• Drop a course after the deadline and receive a full or partial refund
• Add a course after the deadline and waive the late fee

Here's what you need to do:

• Complete the petition, offering as much detail as possible.
• Secure the appropriate signatures (required signatures are noted on the form).
• Return the signed Petition with any required attachments to the SPHHS Student Records Office, 222 Ross Hall.

The SPHHS Undergraduate Petition Undergraduate students can use this form for either Admissions Petitions or Student Records Petitions.

Admissions Petitions are submitted to:

• Apply for Readmission
• Change Major within SPHHS
• Change BS Exercise Science Concentration
• Add or Drop a Specialty Field or Minor
• Transfer Credits to GW Transcript before Enrolling
• Change Entry Semester

Here's what you need to do:

• Complete the petition, offering as much detail as possible.
• Return the petition electronically to Emily Rhineberger at sphehr@gwumc.edu with any other required attachments.
• The Office of Admissions will process your petition by electronically referring it to the appropriate faculty member(s) and then returning it to you with the decision.

Student Records Petitions: These are submitted to:

• Substitute a Course for a Required Course
• Drop a Course after the Deadline with no "W"
• Add a Course after the Deadline and Waive Late Fee
• Withdraw from a Course with a Grade of "W"
• Leave of Absence

Here's what you need to do:

• Complete the petition, offering as much detail as possible.
• Secure the appropriate signatures (required signatures are noted on the form).
• Return the signed Petition with any required attachments to the SPHHS Student Records Office, 222 Ross Hall.

Petition to Transfer Credits From Another Institution (Undergraduate Students Only; submit to Student Records, Ross 222) Undergraduate students who wish to transfer credit for coursework taken at another institution toward the GW degree should obtain the form from the Department of Exercise Science (Building K) or from the Office of Student Academic and Career Development Services (Ross 221). Note that you should always seek clearance ahead of time if you intend to take courses for transfer toward your GW degree.

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