MMG Qualifying Examination Form___________________________________ Print one of these pages for each committee member to fill out. Submit all pages and your summary of comments page to the Program Administrator at 1462 Clifton Rd, Suite 300A in the old Dental Building within one week of your exam. Student Name: _________________________________ Date: _______________ Faculty member: _____________________________________________________________ Faculty member is to provide feedback regarding each area below. Written Proposal Abstract: Adequacy of experimental approaches: References: Oral Examination Defense of proposition: Knowledge of relevant background literature: Presentation skills: Ability to think logically when confronted: Precision in responding to questions: General comprehensive background: Overall grade and recommendations if any: PASS CONDITIONAL PASS FAIL ___________________________________________________________________ MMG Qualifying Examination Summary Form_________________________ Summary of comments and recommendations made by the committee and action plan for implementation In this section, briefly summarize the comments and critiques made by the committee on the written proposal, oral defense, and areas of weakness or concern with respect to the experimental work and/or scholarly acumen. Provide a brief plan of action for steps to be taken in consultation with the PI should any areas of concern be identified. The student and PI will sign and date this summary, and the student will get members of the committee to endorse the plan by signing as well. The student is responsible for turning in this signed form to the Program Administrator along with the faculty comment/grade pages to formally complete the qualifying exam requirement. (Use additional pages if necessary.) Student Signature: __________________________________________ Date: ____________________ PI/Mentor Signature: ________________________________________ Date: ____________________ Committee Member Signatures: 1.___________________________________ 2.____________________________________ 3. __________________________________ 4. ____________________________________ 5.___________________________________