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