Primary Program Faculty Advisor Approval

Fill out the following fields, print and deliver to your primary advisor** for signature. Please return to the CHS enrollment development department when completed.  

Student's Full Name  
 Primary Program/Year  
Date  

I am applying for admission to:  (choose one of the following) 

Master of Health Care Administration Degree (MHA) Program 
Graduate Certificate in Health Care Administration
Master of Public Health Degree (MPH) Program 
Graduate Certificate in Public Health  
 

The pursuit of a dual degree has been discussed thoroughly with the applicant. As the advisor, I am confident the student understands the responsibility of balancing their workload appropriately.  I support the student's application to the College of Health Sciences.
   

 

___________________________

Faculty Advisor Signature
____________________
Date
   

___________________________

COM-CDD Advisor Signature only

 

 ____________________
Date
 

**Students in the DO program need to have their Clinical Dual Degree advisor sign this form.

              COM-MHA= Dr. Roberta Wattleworth

              COM-MPH= Dr. Carolyn Beverly

 

DPM, DPT, and PA students should have their respective faculty advisor sign this form.