Ph.D. Qualifying Exam Evaluation Form Circle One: Final Summary Form OR Committee Member Form Student Name:______________________________ Date of Qualifying Exam:____________ Month/Year Student Joined OSU’s Ph.D. program:____________________ Advisor:____________________________ Committee Members with Affiliation: (Include Signatures on the “Final Summary Form”) Signature Name Affililation ____________________ ____________________ ____________________ ____________________ Brief Description of Qualifying Exam “Assignment” and Topic: (can be already filled in by the student) Email Attached Rating of how the student demonstrated/performed the following: Research paper Subject Questions Circle one, where 5 is excellent, 3 is ave., 1 is poor Written Material Oral Presentation 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 Questions from the committee included (Circle Yes or No, with option to add comments): Undergraduate course material Yes/No_________________________________________ Graduate courses already taken by the candidate Yes/No_____________________________ Questions that required written responses Yes/No __________________________________ What area/areas of breadth were examined __________________________________________ Results (circle one): a) Pass b) Fail Research Paper. If 1st attempt, allow retake by May 15th of the same academic year. c) Fail Subject Questions. If 1st attempt, allow retake by May 15th of the same academic year. d) Fail both parts. If 1st attempt, allow retake by May 15th of the same academic year. e) Fail. Student should drop out from the Ph.D. program. Student signature acknowledging the final decision: ________________________________