Capstone Information Form Thanks

Before you submit this form, please make sure that your Capstone supervisor has already approved your project. When you submit this form, your Capstone supervisor will automatically receive an email message from the MPH office acknowledging his\her approval of your project.

Please fill in the Capstone Information Form below and submit it by the deadlines indicated below:

September 19, 2008 if you are a part-time\Internet-based student presenting online on January 8, 2009.

February 13, 2009 if you are presenting in the 2009 Spring sessions.

All students are required to give oral presentations. Customized students and some concentrations will present onsite on Saturday, May 9, 2009. The following concentration areas will hold separate sessions for oral presentations at alternative dates/times (please check with your concentration for those dates): Child & Adolescent Health, Comparative Health Systems & Policies, Social & Behavioral Sciences, and Women's & Reproductive Health.

Thank you. MPH Program Office

MPH CAPSTONE INFORMATION FORM

First Name «

Last Name «

Email Address «

Capstone Project Title «

Attach an Outline of your project «

No longer than 1 page in length.

Capstone Project Supervisor's Name «

(Lastname, Firstname)

Capstone Project Supervisor's Email Address «

(for Approval)

Faculty Advisor's Name «

(Lastname, Firstname)

Are you enrolled in an official concentration? «

[ Yes ] [ No ]

If Yes, which concentration?

(Please select one.) Go to next question if you are not enrolled in a formal concentration area.

If you are Customizing your program of study

To help guide us in scheduling the May 10th symposium sessions, please check the most appropriate broad topic area for your Capstone project.

Other

If you selected "Other" above, please indicate topic area.

Does your capstone involve the collection of and/or analysis of data from people? «

[ Yes ] [ No ]

If Yes, select from the following:

(Please select one.) Go to next question if you answered No to previous question.

Oral Presentation «

How will you complete your oral presentation requirement?

Online (for Part-time/Internet-based students Only): January 8, 2009

Online (for Part-time/Internet-based students Only): May 4 or 5, 2009

Saturday, May 9, 2009 MPH Symposium at Bloomberg School of Public Health

Alternative Venue

Online Date Preference

If you are a part-time/Internet student and selected Online presentation, do you have a preference in date?

Thursday, January 8, 2009

Monday, May 4, 2009

Tuesday, May 5, 2009

No Preference

Specify Alternative Venue

Fields marked with "«" are required.