The Certificate in Interdisciplinary Health Communication

Fulfillment Form

Students should obtain the following signatures and submit to the IHC Committee as instructed below.
Students and graduate advisors may use this form as a working template for completion of Certificate
requirements. A final copy with signatures attesting to the fulfillment of all requirements should be submitted
to the IHC Certificate Committee upon graduation.

Name: _________________________________ Student’s PID:________________________________

Department/School:

_________________________________________________________________

Degree Program: Degree Program Advisor:

_______________________________________ ____________________________________________

O MA/MS/MPH, etc. Expected date of degree completion:

O Ph.D. _____________________________
 

LIST THE COURSES TAKEN FOR FULFILLMENT IN THE SPACES BELOW:

Certificate Requirements: total of 9 credit hours

ONLY 3 CREDITS CAN DOUBLE COUNT FOR GRADUATE DEGREE AND IHC CERTIFICATE

(1) IHC Seminar MEJO/HBEH 825 (3 hours) Semester/year: _______________________

Instructor: ___________________________

(2) Approved graduate course (3 hours) Semester/year: _______________________

outside of department/school
Instructor: ___________________________

(3) Colloquia class MEJO/HBEH 826 (1.5 hour) Semester/year: _________________________

(4) Colloquia class MEJO/HBEH 825 (1.5 hour) Semester/ year: _________________________

(5) Health communication topic for Semester/year: __________________________

thesis or dissertation (abstract approved
by IHC Certificate Committee)

I have completed the required coursework for the Certificate in Interdisciplinary Health Communication.

I have completed and submitted to the UNC Graduate school my thesis, dissertation or equivalent.

Student___________________________________________________Date (expected)_______________

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Degree Program Advisor___________________________________________Date_______________

IHC Certificate Advisor____________________________________________Date_______________

Date of submission of form to IHC Certificate Committee: ______________________________

SCAN AND SUBMIT FULFILLMENT FORM TO IHC CERTIFCATE COMMITTEE IN CARE OF:

Holly  M.  Weakland  (hollymw@live.unc.edu)  

Graduate  Program  Coordinator  
University  of  North  Carolina  at  Chapel  Hill  
School  of  Media  and  Journalism  
CB  #3365,  Carroll  Hall  Chapel  Hill,  NC    27599-­‐3365  

 
For  those  enrolled  as  graduate  students  in:   Assigned  IHC  Certificate  Advisor:  
 
School  of  Media  and  Journalism     Seth  Noar,  CB  #3365  
School  of  Public  Health   Deborah  Tate,  CB  #7440  
School  of  Information  and  Library  Science   Barbara  Wildemuth,  CB  #3360  
Other  school  or  department  at  UNC-­‐Chapel  Hill     IHC  Certificate  Committee,  CB  #3365  
 

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