GBO EXAM FORM - Complete and submit to: Hong Lan , 318 Clark Hall

See Graduate Board Oral section in the Ph.D. Handbook

Name of Student:

Date of Exam (month/day/yr):

Day of Week:

Time of Exam:

Place:

Regular Examiners:

Inside Examiners (choose 2):

Name:

Academic Rank / Dept:

email address:

Name:

Academic Rank / Dept:

email address:

Outside Examiners (choose 3):

Name:

Academic Rank / Dept:

email address:

Name:

Academic Rank / Dept:

email address:

Name:

Academic Rank / Dept:

email address:

Alternate Examiners:
(You must have 2 alternates, both alternates may be outside, if an inside alternate cannot be found)

Inside Alternate Name:

Academic Rank / Dept.

email address:

Outside Alternate Name:

Academic Rank / Dept.

email address:

Complete and return form to Hong Lan, at least, three weeks prior to the scheduled date of your GBO.