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Student Advisory Committee Summary Report Form

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OFFICE OF THE REGISTRAR | BELFER BUILDING - ROOM 203 | TEL: (718) 430-2345 | FAX: (718) 430-8655<br />

STUDENT ADVISORY COMMITTEE SUMMARY REPORT FORM<br />

(To be Filled Out and Signed Following Each Meeting)<br />

Date of the Meeting:<br />

<strong>Student</strong>'s Name:<br />

Entered the Program (eg. Fall 03):<br />

Thesis Mentor:<br />

Department:<br />

Last Meeting:<br />

Banner ID #:<br />

PhD MSTP<br />

<strong>Summary</strong> of Current Status:<br />

Course Requirements: Completed Not Completed<br />

Qualifying Examinations: Passed Failed To Be Taken<br />

Publications: Yes No<br />

Manuscript in prep: Yes<br />

No<br />

_________________________________________________________________________________________<br />

Evaluation of Progress Towards Thesis:<br />

_________________________________________________________________________________________<br />

Short Term Goals to be Achieved by Next Meeting:<br />

_________________________________________________________________________________________<br />

Potential Research Problems:<br />

Page 1 of 2


_________________________________________________________________________________________<br />

Publication Status:<br />

_________________________________________________________________________________________<br />

Next Meeting Should be Scheduled For:<br />

Month / Year<br />

(Must Have At Least One <strong>Advisory</strong> <strong>Committee</strong> Meeting Every 12 Months)<br />

_________________________________________________________________________________________<br />

<strong>Student</strong> is Advised to:<br />

Plan for Next Meeting<br />

Write Thesis and Defend<br />

Begin Writing Thesis, but Another Meeting is Required<br />

Write Thesis Outline. Due 1 Week Before Next Meeting<br />

Begin Writing Thesis, Pending Completion of the Following (meeting not required):<br />

_________________________________________________________________________________________<br />

<strong>Advisory</strong> <strong>Committee</strong> Member: (Please Print)<br />

(Chair of<br />

<strong>Committee</strong>)<br />

<strong>Committee</strong> Member (Signature)<br />

______________________________<br />

<strong>Student</strong> Signature<br />

______________________________<br />

Date<br />

NOTE: One copy each should be retained by the advisor, student, Department Office, and the original handdelivered<br />

to the Graduate Office (Belfer 203).<br />

Page 2 of 2


OFFICE OF THE REGISTRAR | BELFER BUILDING - ROOM 203 | TEL: (718) 430-2345 | FAX: (718) 430-8655<br />

STUDENT ADVISORY COMMITTEE REPORT FORM<br />

<strong>Committee</strong> Member Comments<br />

_________________________________________________________________________________________<br />

<strong>Student</strong> should provide 1 form to each member to fill out during the advisory meeting.<br />

Date of Meeting:<br />

<strong>Student</strong>'s Name:<br />

_________________________________________________________________________________________<br />

Comments on Progress Towards Thesis - Strengths and Weaknesses<br />

_________________________________________________________________________________________<br />

Potential Pitfalls or Issues to be Addressed<br />

_________________________________________________________________________________________<br />

Recommended Priorities<br />

______________________________<br />

<strong>Committee</strong> Member (Print)<br />

______________________________<br />

Signature

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