Get Mph Alternative Practicum Fulfillment Form Concurrent Graduate ... - Sph Washington

Completing the MPH Alternative Practicum Fulfillment Form is an essential step for concurrent graduate degree students seeking to fulfill their practicum requirements. This guide provides clear instructions to help users navigate each section of the form efficiently.

Follow the steps to fill out the form smoothly.

1. Press the ‘Get Form’ button to obtain the form and open it for editing.
2. In the first section, students must provide a narrative description of their relevant employment or experience. This should include the names of the agencies where they work, their job titles, and a detailed list of responsibilities.
3. Next, indicate the approximate number of supervised hours completed in field-based experience to give context to the practicum fulfillment.
4. List the names and positions of the site-based field supervisors to provide a point of reference for the supervisory role during the practicum.
5. Complete the waiver request section if applicable, confirming enrollment in a concurrent graduate degree program and acknowledging completion of a supervised field-based practicum.
6. Print or sign your name and date in the designated spaces to affirm the information provided in the form is accurate.
7. Obtain the signatures of your department faculty advisor and SPH faculty advisor as required. Ensure their names and the corresponding dates are entered correctly.
8. After thoroughly reviewing the completed form for accuracy, save the changes, and prepare it for submission to the MPH Practicum Office at Box 357230.

Complete your MPH Alternative Practicum Fulfillment Form online today to ensure timely submission.