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Hci-checkout MONTANA TECH

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MONTANA TECH
GRADUATE STUDENT CHECK-OUT LIST
Health Care Informatics Certificate
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 all degree
requirements.
Department Head or Advisor
Date
All required courses and deficiency courses (if
applicable) completed successfully
Department Head or Advisor
Date
Business Office Check-Out
Business Office
Date
All requirements for a Graduate Certificate in Health Care Informatics
have been successfully completed by:
Beverly K. Hartline, Dean, Graduate Studies
Date
Term Degree Posted
Verified and Posted by
Date
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Completed 6 November 2019

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