Research Advisor Selection Form PhD Students in Programs outside the College of Medicine ___________________________Panther _____________ Student Name: ID: Graduate Student: Use this form to report the selection of your Research Advisor. Faculty Members: Your signature in this form indicates your willingness to serve as the Research Advisor of this student. You will be expected to provide a Research Assistantship to the student (covering stipend, tuition, fees and health insurance) for the period of time the student is in your lab. ________________Signature: ________ Research Advisor: _______________________Date: __________________Signature: ________ Student Name: _______________________Date: Please submit completed form to Odalys De La Rosa for Approval by Chair __________________Signature: ________ HWCOM Chair: _______________________Date: Completed signed form will be forwarded to the Program Director for Graduate Programs
Research Advisor Selection Form PhD Students in Programs outside the College of Medicine Student Name: ___________________________Panther ID: _____________ Graduate Student: Use this form to report the selection of your Research Advisor. Faculty Members: Your signature in this form indicates your willingness to serve as the Research Advisor of this student. You will be expected to provide a Research Assistantship to the student (covering stipend, tuition, fees and health insurance) for the period of time the student is in your lab. Research Advisor: ________________Signature: _______________________Date: ________ Student Name: __________________Signature: _______________________Date: ________ Please submit completed form to Odalys De La Rosa for Approval by Chair HWCOM Chair: __________________Signature: _______________________Date: ________ Completed signed form will be forwarded to the Program Director for Graduate Programs
Non-HWCOM%20PhD%20Advisor%20Selection%20Form.docx