T No.
Name
Course
Number
Course Description
Where
Taken
Term
Completed
Sem.
Hrs.
Credit
Grade
BACKGROUND
COURSES
Credit not counted
toward degree
TRANSFER
CREDIT
COURSES TAKEN
OR TO BE TAKEN
to count toward
certificate
3
3
3
TOTAL Semester Hours Credit to be Counted Toward Degree
15
Do you anticipate using Human Subjects in your research? ___YES ___NO
If yes, IRB approval is required one semester prior to graduation. Contact your advisor for more information.
FINAL GPA
Approved for MPS Executive Committee
Date
Dean of College
Date
Office of Graduate Studies
Date
ALL SIGNATURES VERIFY APPROVAL OF TOTAL FORM
NOTICE:
1. A graduate student shall be enrolled for at least one course appropriate to t degree objective during the term in
which the degree is awarded.
2. Application for graduation must be submitted by deadline published in catalog and the online Academic Calendar.
MASTER OF PROFESSIONAL ST
UDIES
PROPOSED PROGRAM OF STUDY
HEALTHCARE INFORMATICS - CERTIFICATE PROGRAM
HANDWRITTEN FORMS WILL NOT BE ACCEPTED
3
Select One
HANDWRITTEN FORMS WILL NOT BE ACCEPTED
DS 6900
Health Analytics
OR
PRST 6550
Computer Based Decision Modeling for Healthcare Administrators
PRST 6540
Health Informatics
PRST 6570
Public Health
PRST 6530
Healthcare Systems Economics
3
PRST 6810
Internship
3