Microbiology and Molecular Genetics Medical College Of Wisconsin Doctoral Dissertation Abstract Approval Form Instructions: Submit your dissertation research proposal ABSTRACT to your committee for approval prior to writing the dissertation proposal. Please type or print the names of the committee members on this form and obtain the appropriate signatures to indicate approval. Please provide copies of the approved form AND the abstract to the committee members AND the M&MG Departmental office for inclusion in your records. DO NOT send to the Graduate School, as this is a Departmental requirement!!! Student's Name: ____________________________________________________________ Dissertation Advisor:________________________________________________________ signature date Program Director:___________________________________________________________ signature Dissertation Committee: Name Signature ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________