Request for PhD 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 (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
* At least one member of the examination committee should be from outside of the department.
Examination areas
Examiner
responsible
General area
Specific area 1
Specific area 2
Date (dd/mm/yyyy)
Deadline for student to receive written instructions from each
examiner (at least two months before proposed examination date)
Suggested date(s) (dd/mm/yyyy)
Written examination
Oral examination (approx. 1 week later)
Signature: Chair of Department/Date Signature: Graduate Co-ordinator/Date
This form must be completed no later than the end of the student’s fourth semester.
The “letter of promise” from the advisory Committee must be submitted by the date of the written
examination.
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