MPH and Graduate School Forms

Prior to First Class

Visit our Onboarding Hub

Forms

  1. Application for Credit Waiver, Transfer or Advance Standing (if applicable)
  2. IRB Registration and Instructions – email certificate of completion to publichealth@uchc.edu by October 15.
  3. IRB Forms for Human Subject Research
  4. Learning Contract for Practicum
  5. Learning Contract for Field Experience
  6. Competency Checklist Fillable Form
  7. Intentional Action Form
  8. ILE Capstone Project (Plan B) Format Specifications
  9. ILE Thesis Petition
  10. ILE Proposal Form
  11. ILE Plan A Thesis Evaluation Form
  12. ILE Plan B Capstone Project Evaluation Form
  13. Independent Study Authorization

For fillable forms, we suggest downloading and saving the form to your computer. Then, open with acrobat reader to complete and save.

For more information, contact the MPH program office at: publichealth@uchc.edu.

Independent Study Elective Protocol: Narrative Guidelines

Overview

Students pursuing an Independent Study Elective must submit a detailed narrative proposal in addition to the required fillable PDF form. This narrative provides a clear understanding of the academic merit, structure, and relevance of the proposed study. Submit your completed narrative proposal and the fillable PDF form to publichealth@uchc.edu. Proposals will be reviewed based on clarity and academic rigor. Revisions may be requested before final approval.

Narrative Requirements (2–3 pages, double-spaced) and should include:
1. Student name, Faculty name (and contact info), Title of Independent Study

2. Focus or Topic Description
Outline the major content areas, questions, or weekly topics you plan to explore.
These may include:
• Thematic topics
• Key populations or case studies
• Frameworks or theories you will examine

Describe how you will engage with the material:
• Will you conduct a literature review, policy analysis, or data synthesis?
• Will you design a product or intervention?
• Are there tools, datasets, or technologies you’ll use?

3. Learning Objectives (3 or more)
State clear, specific, and measurable learning objectives using action verbs (e.g., analyze, evaluate, create). Note: At least two of your learning objectives must directly align with the Program’s core or concentration-specific competencies. Please identify the corresponding competency next to each mapped objective.
Example:
• Evaluate state-level policy strategies aimed at reducing maternal mortality. (Competency 8: Apply awareness of cultural values and practices in public health interventions)
• Develop an infographic to communicate key findings to non-academic stakeholders. (MPH Competency 21: Communicate public health content to diverse audiences)

4. List/Describe all Final Deliverables
Examples:
• Final Paper: Topic-based literature review or policy brief
• Infographic: Visual synthesis for a community audience
• Presentation: Oral presentation for a student group or class
• Weekly Reflection Journal: Personal reflections on learning progress
• Annotated Bibliography: Curated and summarized set of key resources

Download the Sample Independent Study Proposal

Graduate School Forms

Please return all forms to the MPH program office, MC 6325. A copy will be kept on file in the MPH office, and the original forwarded to the Graduate School.