UNIVERSITY OF WASHINGTON, Department of Health Services 
EXTENDED MPH DEGREE PROGRAM 
Email:  uwedp2@u.washington.edu 
(206) 685-7580 
MPH THESIS/PROJECT QUARTERLY AUTHORIZATION CONTRACT 

Form Instructions: 
Copy the entirety of this template into an email and fill out this form.  Send this email to: 

1) Your chair (we must see his/her email address in our copy) 
2) ExDP (uwedp2@u.washington.edu) 

If your chair does not timely respond with a concern, then we will register you for the quarter.   

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QUARTERLY THESIS/PROJECT APPROVAL 

I, (student name):
am taking _____ (type number) 
thesis/project credits this (quarter/yr):
from my chair: 

I have emailed ExDP (uwedp2@u.washington.edu) and copied my chair on this email. My chair knows I am taking thesis credits this quarter. I understand that it is helpful to set-up goals with my chair because it will help me stay on track.