Compare CEPH-accredited Master of Public Health degrees from North Dakota universities — tuition, concentrations, GRE policies, and career outcomes ranked side by side.
By Max SheltonReviewed by PAP Editoral TeamUpdated August 5, 202625+ min read
What you’ll learn in this article…
UND and NDSU offer the only CEPH-accredited MPH programs for North Dakota residents.
NDSU charges the same online tuition regardless of residency status.
CPH and CHES certifications strengthen hiring prospects across North Dakota public health roles.
North Dakota's public health workforce operates across one of the most sparsely populated states in the country, serving rural communities, tribal nations, and agricultural regions where provider shortages are persistent. MPH-trained professionals fill critical gaps in epidemiology, health administration, and community health programming, particularly within county health districts and tribal health systems that rely on small, specialized teams.
Two CEPH-accredited universities, UND and NDSU, offer online MPH programs accessible to North Dakota residents, each with distinct tuition structures, concentration options, and practicum requirements. For working professionals balancing careers with graduate study, the differences between these two programs have real financial and logistical implications. Choosing between them often comes down to concentration fit, per-credit costs, and whether a program's applied practice placements align with regional employers.
Ranked: Best Online MPH Programs in North Dakota
These are the online-delivery-eligible Master of Public Health programs available to North Dakota residents, scored on a composite of institutional quality indicators including graduation rate, net price, and online-delivery eligibility. This is not a pure cost or speed ranking. Instead, it weighs overall program strength alongside the practical factors that matter most for working professionals.
NCES-IPEDS federal institutional data — nces.ed.gov
#1
University of North Dakota
Grand Forks, ND · $19,000/yr
Best for: Remote learners seeking Indigenous Health focus
The University of North Dakota's Master of Public Health stands out as the most comprehensive online-friendly MPH option for state residents, combining CEPH accreditation with a no-GRE admissions policy and flexible scheduling. Three specializations give students a clear focus: Health Management & Policy for future administrators, Indigenous Health, the only fully online program of its kind in the U.S., and Population Health Research & Analytics, a STEM-eligible track for data-driven professionals. Students complete a 135-hour practicum with state, local, or tribal public health agencies, and the program reports a 100% job placement rate in health careers. The institution-wide graduation rate is about 60%, with an effective net price around $18,550 after aid.
View program
Master of Public Health — Online
CEPH accredited Master of Public Health program
Three concentrations: Health Management & Policy, Indigenous Health, and Population Health Research & Analytics
No GRE required for admission
42 total credit hours, typically completed in two years
135-hour practicum with public health organizations
Only U.S. program offering an Indigenous Health MPH fully online
STEM-eligible Population Health Research & Analytics specialization
Reported 100% job placement rate in health careers
Best for: Working professionals in rural health systems
North Dakota State University's Master of Public Health is built for working professionals, with hybrid and distance education options that extend its reach beyond the Fargo campus. The curriculum centers on Community Health Sciences and Epidemiology, with specializations in Health Promotion, Management of Infectious Diseases, and Maternal and Child Health. Students gain applied skills through interdisciplinary projects and partnerships with public health organizations across the state, and the program offers accelerated and dual degree paths along with assistantships and scholarships. The institution-wide graduation rate is about 64%, and the effective net price for in-state students is roughly $15,540.
View program
Master of Public Health — Hybrid
Concentration options in Community Health Sciences and Epidemiology
Special topics in Health Promotion, Infectious Disease Management, and Maternal and Child Health
Accelerated program available for qualified students
Dual degree options with other graduate programs
Graduate assistantships and scholarships available
Public health certificate options can be added
Distance education options for working professionals
Prepares graduates for government, nonprofit, healthcare, and research roles
Our ranking approach combines multiple publicly available data points into a straightforward composite score, helping you compare online MPH programs offered to North Dakota residents. We focus on factors that signal both academic quality and the practicality of completing a degree while balancing work or family obligations.
Composite Scoring Methodology
We begin by awarding extra weight to programs designed for fully online delivery, recognizing the flexibility this provides for working public health professionals across the state. From there, our core score incorporates three baseline quality indicators: the institution's overall graduation rate, its average net price, and the breadth of MPH-related program availability. Each metric is normalized so no single factor dominates the list, and final scores reflect a balance between affordability, student success, and online accessibility.
Data Sources We Trust
To build the ranking, we draw from the U.S. Department of Education's College Scorecard, which supplies verified institution-level data on graduation rates and net price, as well as program-level labor market outcomes. We cross-reference this with the Council on Education for Public Health (CEPH) to confirm accreditation status and verified tuition figures from each university's published materials. This combination ensures the comparisons rest on objective, third-party information.
What the Ranking Does Not Measure
No ranking can capture every dimension of a program's quality. Our methodology does not include student satisfaction surveys, faculty research credentials, or employer reputation assessments because these lack a consistent, publicly available yardstick across all institutions. Similarly, graduation rates reflect the entire university, not the MPH cohort alone, and net price is an institutional average, not a guarantee of your individual cost. These are valuable context points, not definitive verdicts.
Why Transparency Matters
Many directory-style lists present a sequence of schools without explaining how they arrived at that order. By contrast, we walk you through our logic, data sources, and limitations so you can evaluate the results with clear eyes. This openness is part of our commitment to E-E-A-T principles, helping you trust that the recommendations are rooted in evidence, not guesswork.
CEPH Accreditation and Why It Matters for North Dakota MPH Students
For public health graduate students in North Dakota, the choice between a CEPH-accredited program and one without this credential is more than a matter of prestige, it shapes licensure eligibility, certification exams, and hiring preferences across the state. The Council on Education for Public Health (CEPH) is the independent agency recognized by the U.S. Department of Education to accredit schools of public health and public health programs, and its CEPH accredited schools and programs list serves as the field's gold standard, signaling that a curriculum meets rigorous, nationally benchmarked quality criteria. For North Dakota's aspiring epidemiologists, health educators, and students in North Dakota online public policy degree programs, attending a CEPH-accredited program is the surest path to a credential employers trust.
What Is CEPH Accreditation?
CEPH accreditation evaluates faculty qualifications, curriculum depth, student support services, and applied practice opportunities against a comprehensive set of criteria. Programs undergo a multi-year initial review and then regular re-accreditation cycles. This process ensures graduates have mastered core public health competencies: from biostatistics and environmental health to health policy and program planning. For students, the practical implications are immediate: only graduates of CEPH-accredited programs are eligible to sit for the Certified in Public Health (CPH) exam without additional work experience3, and many employers in North Dakota's state and local health departments list CEPH accreditation as a preferred or required qualification in job postings3.
CEPH-Accredited Programs in North Dakota
Both of North Dakota's in-state Master of Public Health programs hold full CEPH accreditation with no probationary or conditional status. The University of North Dakota earned its initial accreditation in September 20131, with its current term ending December 31, 2028, following re-accreditation in December 20211. North Dakota State University received initial accreditation in September 20142, was re-accredited in December 20222, and holds a term that runs through December 31, 2029. These timelines mean students enrolling in 2026 can complete their degrees within a fully accredited window, with the next comprehensive reviews scheduled for 2027, 2028 at UND and 2028, 2029 at NDSU3.
How Accreditation Affects Your Career Path
CEPH accreditation is directly linked to certification and employment mobility. North Dakota MPH graduates who pursue the CPH credential can do so shortly after graduation, and those seeking the Certified Health Education Specialist (CHES) designation also benefit, as CHES eligibility requires coursework that aligns with CEPH's competencies3. On the job market, North Dakota's county health districts, tribal health organizations, and the state health department, agencies often staffed by Master of Public Administration North Dakota graduates, prioritize candidates from accredited programs. Without this credential, graduates may find themselves shut out of competitive fellowship programs, federal public health positions, and even some state civil service classifications.
Steer Clear of Non-Accredited Programs
A handful of regionally accredited institutions offer public health-related master's degrees that lack CEPH recognition. While these programs may appear more flexible or affordable upfront, they rarely carry the same weight with employers or certification bodies. Without CEPH accreditation, graduates cannot sit for the CPH exam, may face barriers to licensure in states that require accredited degrees, and often struggle to compete for the limited public health openings in North Dakota's close-knit professional community3. For a broader look at how accreditation standards shape MPH education nationwide, readers can explore the comprehensive guide on the Master of Public Health degree.
Online MPH Tuition in North Dakota: In-State, Out-Of-State, and Flat-Rate Options
Tuition structure can make or break the affordability of an online MPH, especially for out-of-state learners. Neither UND nor NDSU offers a flat-rate tuition model, but both charge per credit hour. The good news: NDSU's online MPH eliminates residency-based pricing entirely, and UND's online format also removes the residency differential, making both programs competitively priced for students anywhere in the country. All figures below reflect 2025-2026 published rates; estimated totals assume a 42-credit program, which is consistent with both universities' typical MPH curriculum length. Fees, books, and other incidental costs are not included unless noted.
School
Modality
Residency Tier
Tuition per Credit
Mandatory Fees per Credit
Total per Credit
Estimated 42-Credit Program Cost
University of North Dakota
On-Campus
North Dakota Resident
$498
Varies
~$498+
~$20,916+
University of North Dakota
On-Campus
Out-of-State
$748
Varies
~$748+
~$31,416+
University of North Dakota
On-Campus
WICHE/WRGP or Military
$498 (in-state rate)
Varies
~$498+
~$20,916+
University of North Dakota
Online
All Residencies (no differential)
Not published separately
Varies
Not published separately
~$36,830 (estimated for ND residents, per program bulletin)
NDSU
On-Campus
North Dakota Resident
$406.11
$69.54
$475.65
~$19,977
NDSU
On-Campus
Minnesota Resident
$454.83
$69.54
$524.37
~$22,024
NDSU
On-Campus
Other U.S. Resident
$609.16
$69.54
$678.70
~$28,505
NDSU
Online
All Residencies (no differential)
$406.11
$69.54
$475.65
~$19,977
Questions to Ask Yourself
Are you a North Dakota resident, or will you need a flat online rate to avoid out-of-state fees?
Residency status can change your per-credit cost significantly at public universities. Programs with a single flat online rate often make more sense for out-of-state learners than paying non-resident tuition.
Will you enroll full-time to finish faster, or part-time to spread the cost?
Full-time enrollment compresses the timeline but concentrates tuition into fewer semesters. Part-time stretches payments to match a working budget, though it delays your credential and the salary bump that follows.
Does your employer offer tuition reimbursement, and does the annual cap fit your enrollment pace?
Many employers reimburse a fixed dollar amount per calendar year. If the cap covers only two or three courses annually, part-time pacing keeps you within the benefit instead of paying out-of-pocket for overflow credits.
MPH Concentrations Aligned With North Dakota Employer Demand
An MPH concentration is a focused set of courses that prepares you to address a specific side of public health: biostatistics, health policy, environmental health, and more. In North Dakota, the most practical concentrations are those that line up with what employers across the state consistently struggle to hire for. With nearly 2,800 open health care practitioner and technical positions statewide as of 2026, and all but seven counties designated as primary care shortage areas, MPH graduates who specialize where the gaps are deepest enter a job market that urgently needs them.1
Indigenous Health: A Critical Need in Tribal Communities
North Dakota is home to several sovereign tribal nations, including the Standing Rock Sioux Tribe, Turtle Mountain Band of Chippewa, Spirit Lake Nation, and the Mandan, Hidatsa and Arikara Nation. Tribal health organizations and Indian Health Service units serve these communities, yet the public health workforce trained specifically in Indigenous health remains chronically small. An MPH concentration in Indigenous Health equips you with cultural competency, community-based participatory research skills, and an understanding of the historical and social determinants affecting American Indian and Alaska Native populations. For anyone aiming to work with tribal epidemiology centers, reservation-based clinics, or state programs targeting health equity, this concentration is a distinct advantage, and employers across North Dakota's tribal health system consistently list it among their highest priorities.
Epidemiology: Supporting State and Local Disease Surveillance
Epidemiology is the data backbone of public health. North Dakota's Department of Health and Human Services and county-level health districts rely on epidemiologists to track infectious disease outbreaks, chronic disease trends, and environmental health risks across the state's rural and frontier counties. With a statewide need for qualified epidemiologists noted in multiple workforce assessments, an epidemiology concentration prepares you for roles in disease investigation, health data analysis, and program evaluation, skills that are directly transferable to positions with ND HHS, local public health units, and the network of Critical Access Hospitals that serve as community health hubs.
Health Management & Policy: Leading Rural and Critical Access Hospitals
Rural hospital administration in North Dakota requires a blend of management skill and policy knowledge, especially as the state invests heavily in workforce retention: $10 million in year-one funding alone for Critical Access Hospital workforce grants in 20262, and a $1 billion rural health transformation initiative rolling out over the next five years3. An MPH concentration in Health Management & Policy aligns with the operational and strategic needs of these facilities: budgeting, human resources, quality improvement, and navigating state and federal health regulations. Graduates are well positioned for leadership roles in the Critical Access Hospitals, federally qualified health centers, and behavioral health providers that dot the state's rural landscape, and a masters in health policy can further strengthen your policy expertise.
If you are weighing a public administration career alongside public health, comparing an MPH or MPA can help clarify which degree fits your goals.
Online Format Details: Synchronous Vs. Asynchronous, Practicum, and Time to Completion
Can you realistically finish an online MPH in North Dakota while holding down a full-time job? The answer depends on which program you choose and how each institution structures its coursework, practicum, and scheduling. Below is a comparison of the practical details that matter most for working professionals.
UND: Blended Synchronous and Asynchronous Delivery
The University of North Dakota's online MPH program was built with distance learners in mind. Coursework uses a combination of synchronous and asynchronous delivery, meaning some sessions require you to log in at a scheduled time with live video and audio, while others let you complete readings, lectures, and assignments on your own schedule.1 This hybrid approach gives students the accountability of real-time class discussions alongside the flexibility to manage weekly workloads around professional commitments.
UND's program is designed for both full-time and part-time study, reflecting the diversity of its student body.1 Full-time students can generally expect to finish in about two years, while part-time students typically need three to four years. Live synchronous sessions are often scheduled during hours that accommodate working professionals, though students should confirm specific session times each semester. UND does not appear to mandate on-campus residencies or intensive weekends for its online MPH track, keeping the program accessible to students across North Dakota and beyond.
The Population Health Research and Analytics specialization at UND operates as a hybrid format that blends asynchronous and synchronous online coursework with the option of on-campus participation, as detailed on the UND School of Medicine & Health Sciences academics page. Students considering that concentration should verify whether any in-person components apply to their study plan.
NDSU: Online Availability with Fewer Published Details
North Dakota State University is listed among institutions offering MPH coursework online; however, specific details about synchronous versus asynchronous delivery, LMS platforms, and scheduling structures are not as extensively documented in publicly available program materials. Prospective students should contact the NDSU public health department directly to ask about live session expectations, evening or weekend class availability, and whether a cohort model or self-paced progression is used.
Applied Practice Experience for Distance Learners
Every CEPH-accredited MPH program requires an Applied Practice Experience, the hands-on practicum that bridges classroom theory with real-world public health work. For distance learners in North Dakota, the key question is whether you can complete this requirement locally rather than relocating.
Generally, online MPH programs allow students to arrange practicum placements in their home communities. North Dakota offers a range of eligible sites:
State and county health agencies: The North Dakota Department of Health and Human Services and regional county health districts regularly host MPH practicum students.
Hospital systems: Sanford Health, CHI St. Alexius, and Altru Health System maintain operations across the state and have public health and community health improvement departments.
Community health centers: Federally qualified health centers in rural and tribal communities provide unique practicum settings aligned with population health needs.
While UND's published materials do not spell out exactly how practicum placements are coordinated for distance learners, students typically work with a faculty advisor to identify and secure a site that meets CEPH competency requirements. If you already work in a health-related role, it is worth asking whether your employer can serve as a practicum host, as many programs allow workplace-based placements with appropriate faculty oversight.
Balancing Work and Coursework
For working professionals weighing these programs, a few practical considerations stand out. First, synchronous sessions at UND mean you will need to block out specific hours each week for live participation, so confirm that these windows do not conflict with your work schedule. Second, part-time tracks at both institutions let you spread the credit load across more semesters, reducing the weekly time commitment but extending your overall timeline. Third, neither program appears to require extended campus residencies, which is a significant advantage for students in rural parts of North Dakota who may be hours from Grand Forks or Fargo.
If a fully asynchronous, self-paced format is a priority for you, it may also be worth exploring CEPH-accredited online MPH programs based outside North Dakota that accept residents at flat tuition rates. Many of these programs offer comparable flexibility and may align better with unpredictable work schedules.
From Enrollment to Graduation: The Online MPH Timeline
Most online MPH programs follow a structured sequence that moves students from foundational public health knowledge through specialized coursework and hands-on field experience. Full-time students typically complete the degree in 4 to 5 semesters, while part-time students should plan for 6 to 8 semesters. Here is how the journey typically unfolds.
Admissions Requirements and No-GRE Options for North Dakota MPH Programs
Admissions requirements are the checklist a program uses to decide whether you're ready for graduate-level public health coursework, covering your academic record, prior experience, and the supporting materials you submit alongside your application. For North Dakota's two CEPH-accredited options, those checklists look similar on paper, though the details differ enough to matter for planning.
GPA and Degree Prerequisites
Both the University of North Dakota (UND) and North Dakota State University (NDSU) set a minimum undergraduate GPA of 3.00, as detailed on their respective UND admissions requirements and NDSU admission page. Each simply requires a bachelor's degree from a regionally accredited institution rather than a specific undergraduate major. UND applies the 3.00 threshold to undergraduate coursework and, where relevant, prior graduate coursework as well. Applicants pursuing UND's Population Health Research and Analytics specialization should also show evidence of quantitative readiness, whether through a math or science GPA at or above 3.0, a written analytic work sample, or letters that speak directly to research and data skills.
Answering the No-GRE Question
For anyone searching specifically for an online MPH no GRE option, the answer for North Dakota is straightforward: neither UND nor NDSU requires the GRE or any other standardized entrance exam for MPH admission. This isn't a waiver policy with fine print about GPA thresholds or years of experience; it's a full elimination of the testing requirement. If you already have GRE scores from a prior application, NDSU notes that scores can still be submitted through ETS, but doing so is optional and won't strengthen or weaken your file either way. Readers exploring test-free routes more broadly can compare additional no-GRE MPH programs nationally for context.
Application Materials and Timing
Both schools use SOPHAS (the centralized public health application service) alongside a separate university graduate application. UND asks for a written personal statement, a current resume, three letters of recommendation with at least one from a former instructor, and official transcripts. NDSU's list is slightly lighter: a two-page statement of purpose, a resume or CV, two letters of recommendation, and transcripts.
NDSU publishes fixed deadlines tied to each entry term: July 1 for domestic fall applicants (May 1 for international applicants), December 1 for spring domestic applicants (October 1 international), and April 1 for summer domestic starts. UND's admissions pages don't specify a hard cutoff in the same way, which suggests a more rolling review process, though prospective students should confirm current-cycle dates directly before assuming flexibility. Non-native English speakers face separate proficiency benchmarks. UND sets its English proficiency standards on its international graduate requirements page, requiring a minimum TOEFL iBT score of 76, an IELTS band of 6.0, or a Duolingo score of 110. NDSU lists a Duolingo minimum of 115.
If you're considering a career in health policy or public administration in North Dakota, an MPA may be a strong alternative. While an MPH focuses on population health and epidemiology, an MPA emphasizes organizational management and policy implementation. Many North Dakota health department roles accept either degree. For a side-by-side comparison, visit publicadministrationpolicy.org.
Career Paths and Certification: CPH and CHES for North Dakota MPH Graduates
Your MPH from a North Dakota program opens doors to specialized roles across the state, and earning a recognized certification is the strongest way to demonstrate your expertise to employers. Two credentials dominate the field: the Certified in Public Health (CPH) from the National Board of Public Health Examiners (NBPHE) and the Certified Health Education Specialist (CHES) from the National Commission for Health Education Credentialing (NCHEC). Both validate your skills, but they suit different career paths and have distinct requirements.
CPH Certification: The Broad Credential for MPH Graduates
The CPH is designed for public health professionals who want a widely recognized mark of core competency. Eligibility for MPH graduates is straightforward: you need a degree from a CEPH-accredited program. Both the University of North Dakota and North Dakota State University hold this accreditation, so your degree qualifies you directly. No work experience is required if you take this route.1 The exam is computer-based, with 200 multiple-choice questions (175 scored, 25 pretest) and a four-hour time limit. A scaled score of 500 (on a 300 to 800 scale) is needed to pass. The exam fee is $385.2 Once you pass, your CPH status is valid for two years. Recertification requires 30 continuing education credits and a $95 fee per cycle.3 You can schedule the exam at your convenience once your eligibility is approved, offering flexibility for working professionals.
CHES Certification: For the Health Education Specialist
The CHES credential is ideal if you plan to focus on community health education, program planning, or health promotion. To qualify, you must hold a degree with a major in health education or a related field and complete at least 25 semester hours (or 37 quarter hours) of coursework aligned with the Seven Areas of Responsibility for Health Education Specialists. Many MPH programs with concentrations in community health sciences or health promotion meet this requirement, but graduates from other tracks may need to document equivalent coursework. The CHES exam consists of roughly 150 multiple-choice questions, administered in three hours, with a passing scaled score that varies by form. The exam fee typically falls between $270 and $300.4 Recertification happens every five years and requires 75 contact hours of continuing education, with at least 45 hours from NCHEC-approved providers.4
North Dakota Career Pathways for MPH Holders
The state’s public health landscape offers a range of impactful roles. An MPH combined with CPH or CHES can lead you to positions such as:
- Epidemiologist: With the North Dakota Department of Health, analyzing disease patterns and guiding policy.
- Health Administrator: Managing operations at a critical access hospital, ensuring rural communities have quality care. A North Dakota health administration degree can strengthen your qualifications for this role.
- Tribal Health Director: Serving Native populations, a path strengthened by UND’s unique Indigenous Health concentration.
- Community Health Educator: Designing outreach programs at a county health district like Fargo Cass Public Health.
- Environmental Health Specialist: Protecting communities through inspections and preventive programs.
Earnings Outlook for North Dakota MPH Graduates
While program-level early-career earnings data is still being collected, institutional outcomes signal strong returns. The University of North Dakota’s MPH program reports a 100% job placement rate and median earnings near $63,000. Across all programs, UND alumni earn a median of $63,552 roughly ten years after entry, while NDSU alumni earn $62,203. These figures align with national trends; explore the broader public health career outlook on the site’s public health resource hub. Earning a CPH or CHES certification can further boost your credibility and salary potential in these roles.
North Dakota Public Health Salary Snapshot
North Dakota's lower cost of living can make public health salaries stretch further than national averages suggest. Below are median annual wages for two key MPH-relevant roles where reliable state-level data is available. Wage data for epidemiologists and health education specialists in North Dakota is not currently published due to limited employment counts in the state.
Frequently Asked Questions About Online MPH Programs in North Dakota
Prospective students often have similar questions about earning an MPH online in North Dakota. Below are clear, research-backed answers to the most common concerns, from accreditation and cost to career outcomes.
Is the University of North Dakota MPH program CEPH accredited?
Yes. University of North Dakota's Master of Public Health program holds accreditation from the Council on Education for Public Health (CEPH)1, with its current accreditation valid through December 31, 20282. CEPH accreditation confirms the program meets rigorous national standards and is essential for graduates who plan to sit for the Certified in Public Health (CPH) exam.
Can you complete an online MPH in North Dakota without taking the GRE?
You can. UND's online MPH program does not require the GRE or any other standardized admission test2. This removes a common barrier for working professionals returning to school. Applicants are evaluated on academic transcripts, professional experience, and a statement of purpose rather than a test score.
How much does an online MPH cost in North Dakota for out-of-state students?
UND lists an approximate total program cost of $36,830 for North Dakota residents (based on 2023 to 2024 figures, excluding fees and books)3. A verified separate out-of-state online total is not currently published in university materials. Prospective students from outside North Dakota should contact UND's graduate admissions office directly to confirm whether a flat online tuition rate or a different out-of-state rate applies.
How long does it take to finish an online MPH in North Dakota part-time?
UND's online MPH is designed as a two-year (approximately 24-month) program2 for students enrolled on a standard timeline. Part-time students who take fewer credits per semester should expect the program to extend beyond two years. Exact completion time depends on course load each term, so it is worth discussing a personalized plan with an academic advisor before enrolling.
What public health jobs can you get in North Dakota with an MPH?
MPH graduates in North Dakota pursue roles such as epidemiologist, health educator, biostatistician, public health program manager, health policy analyst, and community health director4. Employers range from the North Dakota Department of Health and Human Services and county health districts to hospital systems and tribal health organizations. Many of these positions align closely with the state's workforce needs in rural and frontier health.
Can online MPH students complete their practicum in North Dakota?
UND's online MPH requires a 135-hour Applied Practice Experience2 with an approved public health organization. Program materials do not restrict placement to a specific state, so students living in North Dakota can typically arrange a local practicum with agencies such as state or county health departments, community health centers, or hospital systems. Students should confirm site approval with their faculty advisor early in the program.