School of Engineering
Department of Electrical & Computer Engineering
Declaration of intention to take the
Ph.D. qualifying exams
I plan to take Part I of the ECE PhD qualifying exam on Friday, January 8,
2016 from 1:00 – 5:00 pm.
Student’s Name:
(Please Print)
I will take Part I, January 8, 2016
_____ YES
_____ NO
PhD Thesis Advisor(s):
(Please Print)
PhD Thesis Advisor(s) Signature:
PhD Thesis Advisor(s):
(Please Print)
PhD Thesis Advisor(s) Signature:
Please return approval form to the ECE office
** All students must pre-register at the ECE office to take the exam. A faculty member must
sign this application form, indicating a willingness to be the Thesis Advisor. **
161 College Avenue, 101 Halligan Hall, Medford, MA 02155
TEL: 617.627.3217 | FAX: 617.627.3220 | http://www.ece.tufts.edu