Last Name: First Name: MI:
Rocket ID: First Semester Enrolled (term/year):
College:Health& Human Services Degree: Graduate Certificate Major: Disaster Preparedness & Response
Time Limitation for Degree (term/year): Expected Graduation (term/year):
List all graduate courses required for the degree
Course
Alphanumeric
Code
Course Title
Term
Grade
#
of
Credits
Graduate
College
use
only
PUBH
6090/8090
Issues in Public Health
3
PUBH
6500/8500
Disaster Preparedness & Response: The Essentials
3
PUBH 5260
Hazardous Materials & Emergency Response
3
PUBH
6560/8560
Interdisciplinary Crisis Management for Medical & Public
Health Professionals
3
Program Total
12
Original Submission Date:
Amended
Date:
RETURN TO:
School of Population Health
UT-HSC
4416 Collier
MS 1027
Plan of Study for the Certificate
Program
Disaster Preparedness & Response
Description: The Plan of Study serves two main purposes. By defining a student’s course of study, it provides focus and direction
to his or her graduate program and it constitutes an agreement that successful completion of the proposed course of study and the
general certificate requirements will result in the awarding of the certificate. Each student working for a certificate is required to file a
Plan of Study with the College of Graduate Studies prior to the completion of 6 credit hours. This plan must be approved by the
Advisor, the Chairman or Program Director and the Associate College Dean before being submitted to the College of Graduate
Studies. It is understood that the first “Plan of Study” filed by a student may be subject to change as he/she progresses. However,
it is the student’s responsibility to notify the College of Graduate Studies of any changes to an approved plan of study. According to
the University of Toledo General Catalog, it is the policy that credit applied towards certificate programs must have been earned
within the period of four years immediately preceding the time the certificate is awarded.
Instructions:
1. List all credits earned or to be earned that you would like to apply toward fulfillment of the Certificate requirements.
2. Under “Course Alphanumeric Code,” give department and course number as they were taken or are to be taken. Give the
course title in the second column. Enter term and grade information as appropriate.
3. Complete the Credits “column for all courses listed.
4. Obtain all required signatures and forward to the College of Graduate Studies for final approval.
5. If there are significant changes, a new “Plan of Study should be completed. If there are minimal changes, a “Plan of
Study Course Substitution” form may be
used.
7-22-19
Additional program degree requirements (please check all that apply):
Other
(please specify)
Other (please specify)
Meets requirements of Catalog Term/Year
Comments/Notes/Justification Regarding Transfer and/or Substituted Courses
General Approvals:
Student (printed or typed) Signature Date
Advisor (printed or typed) Signature Date
Program Director Signature Date
Signature Date
Dean, College of Graduate Studies
Dean, College of Health and Human Servic
es
Signature
Date
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signature
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