Request for DVSc Qualifying Examination (Pathobiology)
Name: Student # Advisor:
Suggested Examination Committee*
Chair (Graduate Coordinator, Dept. Chair or
designate) not on advisory committee
1. Member of Graduate Faculty (member of
Pathobiology Department but not
member of Advisory Committee)
2. Member of Graduate Faculty (not
member of Advisory Committee)
3. Member of Advisory Committee
4. Member of Advisory Committee
Examination areas
Examiners
Responsible
General area
Specific area 1
Specific area 2
Suggested dates (dd/mm/yyyy)
Deadline for student to receive written
instructions from each examiner (at least two
months before proposed examination date)
Written examination
Oral examination (approx. 1 week later)
Signatures and dates
Advisor
Graduate Coordinator Department Chair
This form must be completed no later than the end of the student’s fifth semester. Prior to the
end of the sixth semester, the DVSc student is required to pass a qualifying examination.
(if needed)
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signature
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