Campus Alert: Find the latest UMMS campus news and resources at

Search Close Search
Page Menu

Clinical & Population Health Research Student Forms

DocuSign is a paperless, digital signature tool.

To initiate a DocuSign form: 

  1. Complete the PowerForm Signer Information page accurately and completely and click, "begin signing"
    Please only do so one time to avoid multiple copies of the form being generated
  2. Add any information required of you to the form and click, "finish"
  3. The form will then move along the chain to collect other information and signatures. When the form is completed, all signers will receive a copy

Academic Forms 

Second Year Students

Thesis Advisor and Department Financial Agreement (BBS05 DocuSign)

Students in Thesis Research

Thesis Research Advisory Committee (TRAC) Selection(CPHR09 DocuSign) 
CPHR TRAC Meeting Report (CPHR10 DocuSign) 
Change: Committee Member (GSBS10 DocuSign)

Dissertation Proposal 

Approval for Dissertation Proposal Defense (CPHR11 Docusign) 
Qualifying Exam Outcome (CPHR25)

Dissertation Defense

Request for a Notice of Dissertation Defense (GSBS11)
Doctoral Dissertation Preparation Guide (GSBS12)
Dissertation Examination Committee (DEC) Selection (GSBS14 DocuSign)
Dissertation Defense Outcome (BBS08 DocuSign)
Completion and Stipend Termination (CPHR23 DocuSign)


Request Leave of Absence: Writing Dissertation (GSBS16)
eScholarship Permission Letter (GSBS19 DocuSign)
Survey of Earned Doctorate ONLINE
Graduation Check-out (GSBS20 DocuSign)
Graduation, Commencement and Post-Graduate Information (ONLINE GSBS71)

Leave of Absence

Request for Leave of Absence (LOA) or Return from LOA (GSBS31 DocuSign)
Request for Parental Accommodation (GSBS32 DocuSign)


Withdrawal and Stipend Termination Date (GSBS33)

Complete with Masters 

Request to Change Program to Masters Degree (GSBS23 DocuSign)
Master Thesis Preparation Guide (GSBS24)
Master's Thesis Outcome (GSBS25 DocuSign)
MS Diploma & Post Graduation Info (GSBS27)

Non-Academic Forms 

Professional Track Students

Tuition Waiver (GSBS46) 

Non-Degree Students

Non-Degree Registration Instructions
Non-Degree Student Information (GSBS59)
Non-Degree Registration (GSBS58)
Proof of Residency (GSBS60)


UMMS Employment for GSBS Students (GSBS51)
Incentive Plan for Externally Funded Students (GSBS49)
Student Health Insurance Disbursement (GSBS50)
Notification of International Travel for GSBS Student on Visa (GSBS48)

UMass Intercampus Exchange

UMass Intercampus Exchange Forms

  • The linked forms and exchange program are for full-time students matriculated in a UMass-Worcester, GSBS program.
  • The registration form needs to be presented to GSBS and the Registrar’s Office prior to the start of any course.
  • An intercampus course can only be considered when a required course is not available at the home campus.
  • Please read the exchange instructions and guidelines before submitting a form for enrollment.