Advanced Biomedical Sciences Requirement Request for Exemption Form

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Advanced Biomedical Sciences Requirement
Request for Exemption Form
The Registrar must have on file documentation that you have applied for and received an Exemption from all or part of the ABS Requirement:
M.D./Ph.D.s are exempt from the ABS Requirement (both the ABS course and the ABS research/teaching experience requirement).
Students who hold a Ph.D. in the biomedical sciences are also exempt from the ABS requirement (both the ABS course and the ABS
research/teaching requirement). If a student holds a Ph.D. in a non-biomedical science area (e.g. Physics, Mathematics, Education,
Social Science) the student must fulfill all aspects of the ABS requirement.
All exemptions require the approval of the Director of the Office of Medical Student Research.
Deadline:
This form should be submitted no later than the date corresponding to the due date of your 4th year Plan of Study form (typically,
mid-March of your 3rd year).
Instructions:
This form MUST be completed in Adobe Acrobat Pro, which can be found on the medical library computers. The form MUST be
downloaded before it is filled out. DO NOT enter data into form while in web browser, Adobe Reader, or viewer modes.
1) Complete all form fields; 2) Save form and rename it as Exempt_Class_YourLastName.pdf (e.g., Exempt_2012_Doe.pdf); 3) Submit the
completed form to the Director of Medical Student Research (Dr. Brian Lamon, medstudentresearch@med.cornell.edu).
Date:
Student Information:
First Name:
Class (YYYY):
Last Name:
Email Address:
Thesis Credentials:
Thesis Title:
Granting Institution:
Mentor Information:
Name:
Phone Number:
Institution:
Email Address:
Thesis
Abstract:
(Enter Thesis
Abstract
Content Here)
Registrar Approval:
Name:
Date:
Signature:
Plan Approval: (For use by Office of Medical Student Research or Curricuum Office only.)
Name:
Brian D. Lamon, Ph.D.
Date:
Signature:
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