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Biomedical Sciences
Application for the Admission to PhD Candidacy
The following steps and their associated forms (1-‐6) are required for progression to PhD. Please note that individual programs may have additional requirements and you should follow those.
1) At the end of your first year complete the Thesis Advisor Selection form (page 2 of
packet) and read The AAMC Compact Between Biomedical Graduate Students &
their Research Advisors
2) Qualifying Exam A form (page 3 of packet)
3) Annual Research Advisory Committee Meeting form (page 4 of packet) – please
note that this must also be completed at time of Qualifying Exam B
(Proposition).
4) Qualifying Exam B (Proposition) form (pages 5-‐6 of packet)
5) Final Examination (Thesis Defense) forms (pages 7-‐9 of packet)
6) Annual Individual Development Plan form (found on Sakai and submitted via Sakai)
After you have completed each form in this packet, please
a) first show the form to your graduate program Administrative Assistant to let them
make a copy
b) then bring the original form to Tina Marottoli, 675 Hoes Lane West, Research Tower
Room 102, Piscataway, 732-‐235-‐2106 [email protected]
Biomedical Sciences
Thesis Advisor Selection Form
At the end of the first year of graduate studies, each student is required to enroll in a graduate
program based on the school in which the thesis advisor holds their primary appointment. Please a) have the advisor complete the section below then, b) show the form to your graduate program Administrative Assistant to let them make a copy, then c) bring the original form to Tina Marottoli, 675 Hoes Lane West, Research Tower Room 102, Piscataway, 732-235-2106 [email protected]
I, ___________________________will serve as Thesis Advisor for _____________________ (Advisor’s Name) (Student’s Name) and he/she will follow the PhD course curriculum of _______________________________. (Name of Graduate Program) I understand that program guidelines regarding Graduate Assistantship are that the current stipend and full insurance benefits are maintained in subsequent years at the level of all first year students in the program. I will begin supporting the student as of ______________ at a stipend of ________________ (Date) (amount) (should equal the amount in effect). The source of funding for this students is: __________________.
(i.e. - NIH, NSF, Name of source) Signature of Advisor: _____________________________________ Date:__________________ ------------------------------------------------------------------------------------------------------------------------------- I, _______________________certify that funds are available for this student starting from the above date (Department Chair/Institute Director) for a minimum of 1 year. Signature of Department Chair/Institute Director: _______________________ Date:___________ ------------------------------------------------------------------------------------------------------------------------------- I have read the AAMC Compact Between Biomedical Graduate Students and Their Research Advisors (http://rwjms.rutgers.edu/education/gsbs/current/forms.html) and agree to abide by its tenets. Signature of Advisor: ________________________________________ Date:__________________ Signature of Student: ________________________________________ Date:__________________ -------------------------------------------------------------------------------------------------------------------------------------------- Name of Program Director:_________________________________________________ Signature of Program Director: ___________________________________ Date:__________________ -------------------------------------------------------------------------------------------------------------------------------------------- Area below to be filled out by Graduate Program Office - Do not write below line Student's Current School: ____________ School. Affil. of Advisor: ________________ Student's Current Prog: __________________ New Prog selected: ___________________ Transfer of School Required: yes _______ no _______
Biomedical Sciences
QUALIFYING EXAM A
Date of Qualifying Exam A ___________________________20_____ Student’s Name__________________________________________________________ Mentor (if applicable) ______________________________________________________ Graduate Program_________________________________________________________ Outcome of Qualifying Exam A : £ Pass £ Fail Student Signature _______________________________________ Date ___________20____ Program Director Name_______________________Signature___________________ Date ___________ Senior Associate Dean Name___________________Signature___________________ Date ___________ a) First show this form to your graduate program Administrative Assistant to let them make a copy b) Then bring the original form to Tina Marottoli, 675 Hoes Lane West, Research Tower Room 102, Piscataway, 732-235-2106 [email protected]
Biomedical Sciences
ANNUAL RESEARCH ADVISORY COMMITTEE MEETING
Student’s Name_________________________________ Mentor______________________________________
Date of Research Committee Meeting _____________20_____ Graduate Program_______________________
Progress of Research: £ Satisfactory £ Unsatisfactory
Rigor and Reproducibility in Propositional Qualifying Exam £ Satisfactory £ Unsatisfactory USE BACK OF FORM FOR ADDITIONAL SPACE Research progress during the year: Research goals for the next meeting: Writing goals (grants, manuscripts) for the next meeting: Presentation goals (meetings, talks) for the next meeting: Discussion at the meeting: Effort and conduct in the lab: Estimated timeline to defend dissertation:
Comments of student (optional):
Committee Name (please print) Signature Concur Dissent ______________________________ __________________________ £ £
______________________________ __________________________ £ £
______________________________ __________________________ £ £
______________________________ __________________________ £ £
______________________________ __________________________ £ £
_______________________________________ Student Signature _______________________________________ ______________________________ __________20____ Program Director Signature Senior Associate Dean Signature Date Please first show this form to your graduate program Adminstartive Assistant to let them make a copy and then bring the original form to Tina Marottoli 732-235-2106 [email protected], 675 Hoes Lane West, Research Tower Room 102, Piscataway, NJ 08854
Application for Admission to Candidacy for the Degree of Doctor of Philosophy
Part I. Qualifying Examination
Instructions to the student:
This application form is to be used on two occasions, first at the time you take your qualifying examination and again at the time you take your final (post dissertation) examination.
Shortly before you plan to take your qualifying examination, you should complete Part I of this form. Present it to the Chairperson of your committee at the time of examination. After the members of your committee have signed it, return the entire form (all four pages) to the School of Graduate Studies Deans Office (25 Bishop Place, College Avenue Campus), preferably by hand rather than through the mail.
Please read through the italicized instructions elsewhere in this application and familiarize yourself with the formal obligations you must fulfill between the qualifying examination and the completion of your doctoral studies.
Name (Mr./Ms.)_________________________________________________________________________ First Last
Local address____________________________________________________________________________________________
________________________________________________________________________________________________________
Permanent home address__________________________________________________________________________________
RUID#_____________________________________________Email_______________________________________________
Phone number (day) ____________________________________ (evening) ________________________________________
Degrees received:
Institutions Period of attendance Degree Year
___________________________________ _________________ ____________ ___________
___________________________________ _________________ ____________ ___________
First registration as a graduate student at Rutgers_____________________________________________________________
Other graduate schools attended, with dates of attendance______________________________________________________
________________________________________________________________________________________________________
Graduate program in which you are enrolled_________________________________________________________________
I am applying for admission to candidacy for the degree of Doctor of Philosophy.
Date________________________________________Signature of applicant________________________________________
To the student: Before you return this form (with the signatures of your committee) to the School of Graduate Studies Dean's Office, please note the following. You will not need this form again until the date of your final examination; you must, however, maintain continuous registration in the School of Graduate Studies until that date, and you must file all documents specified by the School of Graduate Studies checklist for degree completion.
End of Part I
[For students in programs with language requirements]
The applicant has met the language requirement of the program.
Graduate Director______________________________________________
[Qualifying Examination Committee Report]
The applicant has been given a qualifying examination and the records of the applicant’s previous graduate education have been examined.
Please affix your signatures to either A (UNSUCCESSFUL) or B (SUCCESSFUL):
A. We recommend that the applicant NOT be admitted to candidacy. The Chairperson of this committee will summarize the committee recommendations in a letter to the applicant and will forward a copy to the Office of the Graduate School within three days of the examination.
Signature Printed Name
_________________________________________ ____________________________________________
_________________________________________ ____________________________________________
_________________________________________ ____________________________________________
__________________________________________ ____________________________________________
Chairperson________________________________ ____________________________________________
Graduate Director___________________________ ____________________________________________
Date______________________________________
B. We recommend that the applicant be admitted to candidacy.
Signature Printed Name
_________________________________________ _______________________________________________
_________________________________________ _______________________________________________
_________________________________________ _______________________________________________
_________________________________________ ______________________________________________
Chairperson________________________________ _______________________________________________
Graduate Director___________________________ _______________________________________________
Date______________________________________
The applicant is admitted to candidacy for the degree of Doctor of Philosophy.
Date______________________________ Signature of the Dean_________________________________
Part II. Final Examination
To the student: List your credits on the reverse page and verify that you have met the degree requirements. A minimum of 24 research credits and a combined total of 72 credits (course & research) are required for the Ph.D. degree. Present this form to your committee at the same time of your final examination. Your committee must also sign the title page of your dissertation after they have certified your passage of the final examination and after they are satisfied that the dissertation meets their requirements. You must then seek the authorization of the graduate director below and return this form to the School of Graduate Studies Deans office (25 Bishop Place, College Avenue Campus).
[Final Examination Committee Report]
Please affix your signature to either A(UNSUCCESSFUL) or B (SUCCESSFUL):
A. We certify that the candidate did NOT pass the final examination. The Chairperson of this committee will summarize the committee recommendations in a letter to the candidate and will forward a copy to the Office of the Graduate School within three days of the examination.
Signature Printed Name
__________________________________________ _______________________________________
__________________________________________ ________________________________________
__________________________________________ ________________________________________
__________________________________________ ________________________________________
Outside Member_____________________________ ________________________________________
Chairperson________________________________ ________________________________________
Date______________________________________
B. We certify that the candidate passed the final examination. Signature Printed Name
__________________________________________ _______________________________________
__________________________________________ ________________________________________
__________________________________________ ________________________________________
__________________________________________ ________________________________________
Outside Member_____________________________ ________________________________________
Chairperson________________________________ ________________________________________
Date______________________________________
Report of the Graduate Director I certify that the candidate has satisfied all the program requirements for the Doctor of Philosophy Degree. Date_______________________________ Graduate Director___________________________________________
Report of the Dean
I report to the Graduate Faculty that the candidate has completed all the requirements for the degree of Doctor of Philosophy and advise that the candidate be recommended to the Board of Governors for this degree.
Date ___________________Signature of the Dean______________________________________________________________
Course credits offered toward the degree. You must list these in chronological order before your final defense.
Subject, course number Title Term and year Credits Grade
16:___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Total Transfer Credits ________________
Total Credits __________________
Research credits (minimum of 24) offered toward the degree. You must list in chronological order.
Subject, course number Title Term and year Credits Grade
16:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Total Credits __________________
Biomedical Sciences
REPORT OF FINAL EXAMINATION/DISSERTATION DEFENSE Candidate’s Name:______________________________________________________________ Graduate Program:_____________________________________________________________ Degree: Ph.D. � M.S. � Date of Examination:_________________ Title of Dissertation:_____________________________________________________________ _______________________________________________________________________________ Results of Examination: � The candidate passed the examination. Dissertation accepted as presented. � The candidate passed the examination. Dissertation requires revisions to be approved by the Program Director. � Dissertation requires additional experiments and written revisions. � The candidate did NOT pass the Final Examination/Dissertation Defense. The Chairperson of this committee will summarize the committee recommendations in a letter to the candidate and will forward a copy to the School of Graduate Studies within three days of the examination. ∼∼∼∼∼∼∼∼∼∼∼∼∼∼∼∼∼∼∼∼∼∼∼∼∼∼∼∼∼∼∼∼∼∼∼∼∼∼∼∼∼∼∼∼∼∼∼∼∼∼∼∼∼∼∼∼∼∼∼∼∼∼∼ We make the following recommendations: Examination Committee: Name (please print) Signature Concur Dissent _________________________ ______________________ � � Committee Chairman
_________________________ ________________________ � � Outside Member _________________________ ________________________ � � _________________________ ________________________ � � _________________________ ________________________ � � *The Program Director signing certifies that completion of ALL CORRECTIONS have been made to the written dissertation. Program Director Name_______________________Signature_________________ Date _________ Senior Associate Dean Name___________________Signature_________________ Date ________ a) First show this form to your graduate program Administrative Assistant to let them make a copy b) Then bring the original form to Tina Marottoli, 675 Hoes Lane West, Research Tower Room 102, Piscataway, 732-235-2106 [email protected]
