Forms

Add/Drop Course
for use by students who wish to add or drop a course
Change of Address
Change of Department
for use by students who wish to request a change in department
Change of Grade
Change of Name
Conflict of Interest in Dissertation Research
for use by doctoral students to address the issue of potential conflicts of interest regarding data, support for dissertation research, and the composition of the dissertation committee

Course Exemption
for use by students to request a course exemption

Course Substitution
for use by students who wish to request a course substitution
Cross Enrollment with Another RBHS School
for use by students who wish to cross-enroll in a course offered by an RBHS School other than the School of Public Health
PDF Fillable
Not Available
Cross Enrollment with Rutgers University-New Brunswick
for graduate students at RBHS, Piscataway (all School of Public Health students) and Rutgers University-New Brunswick who wish to cross-enroll in a course offered by an RBHS School other than the School of Public Health
Dual Degree Record Release
Dual Department
for use by students who wish to request a dual concentration
Enrollment Verification Request
FERPA Release
for use by students who wish to authorize the release of their records to a third party
PDF Fillable
Not Available
FERPA Request for Confidentiality of Student Directory Information
for use by students who wish to keep their "directory information" items private
PDF Fillable
Not Available
Faculty Fieldwork Advisor Sign-Off For Dean's Review of MPH Fieldwork
for use by students who are ready and approved to present their Fieldwork at Dean's Review
Graduation Application
for use by students who are ready to graduate with their Certificate, MS, MPH, or doctoral degree
Request for Incomplete Grade
Contract for Independent Study
for use by students who wish to enroll in an Independent Study
Internal Certificate
for use by matriculated students at the Rutgers School of Public Health who are interested in adding a Certificate program to their degree
Leave of Absence
for use by students with academic, financial or personal issues that prevent them from taking classes for a semester or two
Also for Student Scholar
Non-Degree Seeking Student Registration
for use by Non-Degree Seeking Students, such as Visiting Students, interested in taking up to two courses only and/or enrolling for a single semester
Practice Experience Credit
for use by students who are also residents in preventive
medicine, occupational medicine, aerospace medicine and public health or general preventive medicine programs
Program Degree Transfer
for use by students who wish to request a change in the degree program for which they originally enrolled
Change Your Residency for Tuition Purposes
for the Rutgers policy, application and application instructions
Registration Card
Qualifying Examination for MS Degree in Biostatistics
Transfer Credit
for use by students who wish to request transfer credits
Notification of Withdrawal
for use by students who wish to withdrawal from the School


If you need a form not found here, please contact the Office of the Registrar.

To request Transcripts:
Effective July 1, 2013, legacy UMDNJ students and alumni may request academic transcripts online through the Rutgers University Transcript and Verification Request Application.