Request for Graduate Diploma Final Examination (Pathobiology)
Name: _____________________ Student # ___________ Advisor: ___________________
Area of Specialization:
Suggested Examination Committee*
Chair (Graduate Coordinator, Dept. Chair or
designate) not on advisory committee
1. Advisory Committee Member
(normally Advisor)
2. Member of Graduate Faculty (may
not be on Advisory Committee)
Suggested date(s) (dd/mm/yyyy)
Signature and date: Chair of Department
Signature and date: Graduate Co-ordinator
This form must be completed at least six weeks before the date of the examination.
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