MONTANA TECH
GRADUATE STUDENT CHECK-OUT LIST
Master of Science
Industrial Hygiene Distance Learning/Professional Track
This form must be completed and submitted to the Graduate
Studies Office before the student can be certified for graduation.
Student’s Name:
Student ID:
Completed Program Form and Application for
Master of Science Degree form submitted to the
Graduate Studies Office.
Graduate Studies Office
Date
Signature of Department Head or Advisor
indicating successful completion of comprehensive
examination or IH Report.
Department Head or Advisor
Date
All required courses, deficiency courses (if applicable)
and graduate school petition forms (if applicable)
completed successfully
Department Head or Advisor
Date
Business Office Check-Out
Business Office
Date
Grad School Office Completion; Graduate Student
Exit Survey
Graduate Studies Office
Date
All requirements for a Master’s Degree in Industrial Hygiene Distance Learning/Professional Track
have been successfully completed by:
Beverly K. Hartline, Dean, Graduate Studies
Term Degree Posted
Verified and Posted by
Date