forms for graduate students department - …me_dgs/forms/completeforms.pdf · department of...

University of ConnecticutSchool of EngineeringDepartment of Mechanical Engineering

FORMS FOR GRADUATE STUDENTS

DEPARTMENT FORMSPreliminary Application Form

ME Graduate Petition Form

Ph.D. Qualifying Examination Application

Application for Teaching Assistantship

ME Selection of Major Advisor

Notification of Change of Major Advisor

ECS Computer Account Application Form

ME Seminar Makeup Form

Graduation Checklist

GRADUATE SCHOOL FORMS

(see: http://www.grad.uconn.edu/forms.html for updates)

Graduate School Formal Application Form

Plan of Study (M.S. and Ph.D.)

Final Exam Report (M.S. and Ph.D.)

Dissertation Proposal Form (Ph.D.)

Report on the General Examination (Qualifying Examination) (Ph.D.)

Announcement of the Ph.D. Dissertation Oral Defense

Doctor of Philosophy Dissertation Tentative Approval Page

Graduation Clearance Notice

Please see Graduate School Website for other forms

Revised: 8/6/02

DEPARTMENT OF MECHANICAL ENGINEERING THE UNIVERSITY OF CONNECTICUT191 Auditorium Road, UNIT 3139 http://www.engr.uconn.edu/meStorrs, Connecticut 06269-3139 Email: [email protected]

PRELIMINARY APPLICATION FORM FOR GRADUATE STUDIES

Name: Date (mo/date/yr)

family name, first name, middle initial Citizenship:

Address: Gender: Male Female

Birthdate:

Telephone:

Email Address:

Fax:

EDUCATIONAL RECORD (Attach copies [unofficial is fine] of all transcripts, GRE and TOEFL scores,letters of recommendation, a resume, and a list of publications, if any. Also attach a personal statementindicating your educational goals and your desired area of research. Failure to provide the requiredinformation will result in your application being returned to you without processing).

Degree University (City, Country) Major Dates GPA

Class Rank in the last 2 years of the last degree: of students

GRE Scores (attach copy): Date Taken: / / Verbal Quant. Analyt. Subject

TOEFL Score (attach copy): Date Taken: / /

EDUCATIONAL PLANS

Applying for (check one box in each column):

M.S Full Time Fall Semester 20 Ph.D. Part Time Spring Semester 20

Field of Interest: Applied MechanicsThermal and Fluid SciencesDesign, Manufacturing, and Systems

FINANCIAL SUPPORT*

Indicate the amount (in U.S. Dollars) available during each year for education.US $ If no support is available from this university, do you still wish to apply? Yes No* No support is given to part time students.

Return to: Director of Graduate Studies at the address above


GRADUATE PETITION FORM

Date of Petition_____________

Students petitioning for course transfer from other universities and/or to obtain a waiverconcerning any rules or requirements of the ME Department as outlined in the ME graduatehandbook should complete this form and return it to the ME graduate secretary. You will beinformed of a final decision within two weeks from the time of petition. Please include acomplete UConn transcript with this form.

I hereby petition the Mechanical Engineering Department of the University of Connecticut for

Course Waiver Date Entered Program________________

Credit Requirement Group within ME:_____ Thermo-Fluids

Other (Please Specify) _____ Design & Manufacturing_____ Solid Mechanics

____________________Advisor___________________________

Degree Program:_____ MS_____ PhD

Last Name:_____________________ First Name:_____________________ SSN:____________

Address:______________________________________________________________________Street City State Zip

Phone Number:____________________

List below, in chronological order, all colleges/universities (including UConn) for bothundergraduate and graduate work, continue on a separate sheet if necessary.

University Attended Date Attended Degree Date Awarded Major

_________________ ____________ ______ ____________ ______

_________________ ____________ ______ ____________ ______

_________________ ____________ ______ ____________ ______

_________________ ____________ ______ ____________ ______

Test Scores and Dates:

% GRE Score:__________ Date:__________% TOEFL Score:__________ Date:__________

Grade Point Average:

• Estimated undergraduate cumulative grade point average (based on 4.0 scale):________• Estimated grade point average for any graduate work taken at UConn:________________• Estimated grade point average for graduate work at other colleges or universities:_______

Personal Comments

State your petition clearly and concisely, including all facts and circumstances you wantconsidered on your behalf. If appropriate, include relevant reasons to account for low gradesand/or test scores. Attach any supporting statements or documents to this form. If additionalspace is required, please continue on a blank sheet of paper and attach it to this form. Please signand date your comments.

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

Signature of Student:__________________________________________ Date:______________

Petitioners: Please do not write below this line:

Academic Advisor Recommendation/and or Comments:

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

Signature of Academic Advisor:_________________________________ Date:______________

ME Department Graduate Petition Committee Recommendation and Comments:

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

Signature of Director of Graduate Studies:___________________________Date:____________

ME Department Head

Agree with Committee Recommendations

Disagree with Recommendations

Signature, Head Mechanical Engineering Department__________________Date_____________


APPLICATON FOR THE PHD QUALIFYING EXAMS FALL SEMESTER EXAM (SEPTEMBER) SPRING SEMESTER EXAM (FEBRUARY)

Please fill out the application and give/send it to Laurie Hockla in the Mechanical Engineering Office (Unit 3139) sothat it is received no later than August 30 for the Fall Exam, and no later than January 20 for the Spring Exam.

Name

Address, phone number, and email address where you can be reached during the month of the examination.

Major Advisor: Signature: Date:

Date started in the Ph.D. program (Exam must be taken for thefirst time within the second semester into the program)

I wish to take the following four (4) oral exams (mathematics plus three (3) others):1. Solid Mechanics

2. Dynamics and Vibrations

3. Systems

4. Thermo and Heat Transfer

5. Fluid Mechanics

6. Mathematics

I have taken the following technical graduate courses at UCONN:

I have taken the following graduate technical courses at other universities (list the subject and the university for eachcourse).

List your semester class schedule (time) for the exam datesDate Class times

"I promise that I will not discuss or disclose exam questions until all exams have been completed".

Signature


APPLICATON FOR TEACHING ASSISTANTSHIP

THIS FORM IS FOR FULL-TIME STUDENTS ALREADY ENROLLED IN THE ME GRADUATE PROGRAM. IF YOUARE A NEW APPLICANT, PLEASE COMPLETE THE PRELIMINARY APPLICATION FORM TO BE CONSIDERED

FOR ADMISSION AND GRADUATE ASSISTANTSHIP

NAME:

DEGREE PLAN: M.S (Plan A) Ph.D. ADVISOR:

FIELD OF STUDY: Applied Mechanics Design and Manufacturing Thermal/Fluids Science

HAVE YOU PASSED THE QUALIFYING EXAM (PH.D. STUDENTS ONLY): YES NO

SEMESTER, YEAR YOU ENTERED THE GRADUATE PROGRAM AT UCONN: Fall Spring

yearEXPECTED DATE OF COMPLETION OF THE REQUIREMENTS FOR YOUR DEGREE:

PREVIOUS TA/RASHIPS HELD (LIST BY SEMESTER AND YEAR, AND % TIME):

LIST COURSES FOR WHICH YOU WERE A TA :

LIST COURSES FOR WHICH YOU WOULD LIKE TO BE A TA :

LIST COURSES TAKEN AT UCONN AND GRADES:

YOUR CURRENT GPA:

Signature Date


ME Selection of Major Advisor Form

Student's Name Area of Interest

Design, Manufacturing & Systems

Name of Faculty Signature Date of Interview

Prof. Ted Bergman _________________________ ______________

Prof. Zbigniew Bzymek

Prof. Kazem Kazerounian

Prof. Nejat Olgac

Prof. Ranga Pitchumani

Prof. Jiong Tang ________________________ ______________

Prof. Bi Zhang ______________

Student's choice of Major Advisor: 1. (Indicate two choices)

2.

Date

Return to the Director of the Graduate Studies




Applied Mechanics


Prof. Robert Jeffers

Prof. Eric Jordan

Prof. Kevin Murphy

Prof. Kenneth Reifsnider ________________________ ______________

Prof. Nigel Sammes ________________________ ______________

Prof. Peng Zhang ________________________ ______________


2.

Date





Thermal/Fluids


Prof. John Bennett

Prof. Ted Bergman _________________________ ______________

Prof. Baki Cetegen

Prof. Wilson Chiu ______________

Prof. Amir Faghri

Prof. Ranga Pitchumani

Prof. Michael Renfro ________________________ ______________

Dr. Thomas Barber ________________________ ______________


2.

Date


NOTIFICATION OF CHANGE OF MAJOR ADVISORFOR USE BY MECHANICAL ENGINEERING GRADUATE STUDENTS

Submit this form, when completed and signed, to the Graduate Records Office (Box U-1006,Whetten Graduate Center room 202). When the change has been recorded, photocopies aresent to the new major advisor, the former major advisor, and to the student. The original isretained by the Graduate Records Office.

Student Identification Number

NAME (TYPED OR PRINTED) SIGNATURE AND DATE

Student

Former Advisor

New Advisor

Department Head*

*All requests for advisor change must be approved by the Department Head, and shouldnot be processed without the Department Head’s signature.

The signature of the NEW major advisor must appear above. The signature of theformer major advisor is requested for informational purposes only. It does not signifypermission or consent on the part of the former major advisor. The new major advisormust hold an appointment to the Graduate Faculty specifically in the student's field (andarea of concentration, if any) and also for the level of the degree program to which thestudent has been admitted. If the student is changing fields, ordinarily a new applicationfor admission is required rather than this form.

Changes of associate advisor should not be reported on this form, but by memorandumfrom the major advisor to the Graduate Records Office.

DO NOT WRITE BELOW

Former Advisor # _______________ U- _______ Former FOS# __________

Now Advisor # _______________ U- _______ New FOS# __________

RECORDED:

___________________________________________________________________________GRO Date G & RIS Date

Engineering Computing Services Engineering Computer Account Form

STUDENT ACCOUNT ONLY STUDENT ID_____________________________ Last Name:_________________________First Name:_____________________ Middle Initial ____ GRAD Undergrad Expected Graduation Date (mm/YY) ___ / ___ ENGR MAJOR BME CE CHEG CMPE CSE CSCI

ECE EGPH ENVE ME MEM MTGY

NON ENGR STUDENTS MAJOR ONLY: SHADOW/ACES Other ____________________ Purpose of Account: ____________________________________________________________

Start Date (mm/dd/yy) ___ / ___ / ___ End Date (mm/dd/yy) ___ /___ / ___ ALL MUST READ AND SIGN. I understand that this facility is to be used only for educational and research activities. Personal and/or commercial use is prohibited. I agree to conform to the rules and policies as posted in the School of Engineering Learning Center. Applicant Signature: _______________________________________ Date: ___________

REQUIRED Signature by Engineering Faculty

Faculty Name (Print): ___________________________ Signature: _____________________ Date: _______

FACULTY/STAFF ACCOUNT ONLY Last Name:_________________________First Name:_____________________ Middle Initial ____

Title: _____________________________________ Office Information

Building: _____________________________ Room Number: _________ PHONE (____) ______-________ FAX (____) ______-________

ECS USE ONLY USER NAME:_________________________UID:_________________ GID:_____________ Created By: _____________________ Date: ______________ UNIX NT


ME MISSED SEMINAR MAKEUP FORM

Procedure:

1 . Attend an UConn Engineering seminar of your choice during the

Semester.

2. Complete the form and have faculty in charge sign below.

3. Return to the Professor coordinating the seminar BY THE LAST DAY OF

CLASS FOR THE SEMESTER.

Date:

This letter is to verify that has attended the

seminar entitled

by (speaker)

in the department on (date).

Faculty in Charge of Seminar:

Faculty Signature:

Revised: 8/1998


GRADUATION CHECKLIST

Ph.D M.S Plan A (Thesis) M.S. Plan B (Non-Thesis)

Applied Mechanics Design & Manufacturing Thermal/Fluid

Student Name:

Thesis/Academic Advisor:

Date you entered the Program:

Items to be attached to this Form: Final Exam (Ph.D & MS/Plan A) or Oral Exam (MS/Plan B) Verdict

Course Waivers (if any) Plan of Study Transcripts List of Publications

COURSES TAKEN AND GRADES

Applied Mechanics Grade Grade

ME 305 Continuum Mechanics ME 358 Theory of Elasticity

ME 349 Mod. Comput. Mechanics OR CE 363 ME 359 Tribology

ME 362 Vibrations ME 360 Advanced Dynamics

ME 364 Mech. of Composites, Laminates

ME 365 Fatigue in Mechanical Design

Design & Manufacturing

ME 335 Principles of Optimum Design ME 321 Conduction Heat Transfer

ME 372 Automatic Control Systems ME 349 Mod. Comput. Mechanics OR CE 363

ME 331 Anal. & Applied Kinematics ME 360 Advanced Dynamics

ME 312 Laminar Viscous Flow

ME 305 Continuum Mechanics

ME 362 Mechanical Vibrations I

Thermal/Fluid

ME 301 Macro. Equil. Thermo ME 313 Flow of Compressible Fluids

ME 312 Laminar Viscous Flow ME 321 Conduction Heat Transfer

ME 323 Convection Heat Transfer ME 324 Radiation Heat Transfer

Mathematics/Computational/Engineering Analysis/Statistics Courses (2 for Ph.D; 1 for MS)

ME 307 Engineering Analysis I

ME 308 Engineering Analysis II

ME 401 Graduate Seminar

No. of Semesters Taken: ; No. of Semesters in the Program: ;

No. of Fail Grades: ; Seminar Requirement Cleared: YES NO

Independent Study (Max. 2 total; Max. 1 with advisor)

Grade:

Grade:

DO NOT WRITE IN THIS AREA: APPROVED/NOT APPROVED for Graduation: Comments:

Transferred Credits (Maximum 6 credits; Attach evidence of approval)

Where taken: Credits: Grade:

Where taken: Credits: Grade:

200-level Courses (Undergrad. courses not open to sophomores and not required for BSME; 6 credits max. for MS; and 3 credits max. for Ph.D.)

Credits: Grade:

Credits: Grade:

Other Courses: Credits: Grade:

Credits: Grade:

Credits: Grade:

Credits: Grade:

QUALIFIERS (PH.D. ONLY)

Attempt Date Subjects taken Verdict

1

2

THESIS RESEARCH (MS PLAN A AND PH.D. ONLY)

Thesis Title:

Thesis Committee:

(List Assoc. Advisors only)

Prospectus Approval date (Ph.D. only):

Committee Meeting Dates (Ph.D. students are required to meet with and update their thesis committee oftheir progress at least once a year, unless authorized otherwise in writing by the committee)

Publications (Attach a separate sheet listing all journal and conference publications based on your thesis. Listall authors in order, manuscript title, journal/conference, volume, issue, and page numbers, and year. FORJOURNAL PUBLICATIONS ONLY: Include reprints or photocopy of the manuscript cover page with publication info.)

Defense Date(s): [Attach copies of the exam verdict(s)]

[1] Verdict: Pass/Fail [2] Verdict: Pass/Fail

Thesis Credits (as determined by thesis committee):

Student’s Signature and Date:

Contact Address (Include phone number and email address):

THE UNIVERSITY OF CONNECTICUTTHE GRADUATE SCHOOLWhetten Graduate Center438 Whitney Road Ext, U-1006Storrs, Connecticut 06269-1006A

PLAN OF STUDY FOR THE MASTER'S DEGREEPLAN A (WITH THESIS)

This plan of study should be completed in triplicate and all copies should be submitted to the Graduate Records Office, Box U-1006in the Graduate Center when not more than twelve credits of course work to be offered for the degree have been completed. The successfulcompletion of all work indicated on the plan of study is a fundamental prerequisite for the conferring of the degree. All copies of the planof study must be signed below by the student and by each member of the advisory committee before submission to the Graduate RecordsOffice for final approval. When fully approved, copies of the plan of study are returned to the student and to the major advisor.

Any request for changes should be submitted to the Graduate Records Office for approval on the ''Request for Changes'' form.

PLEASE TYPE OR PRINT CLEARLYName in Full

MissMr.Mrs.Ms.

First Middle Last Soc. Sec. No.

Address for reply

Field of StudyDegree sought

Area of Concentration, if any(exactly as listed in the Graduate School catalog)

Date by which you expect to complete work for the degree** Formal application by the student to be placed on the list of degree candidates must be filed in the Graduate Records Office. Seethe Graduate School catalog for deadline.

Summarize briefly your objectives in taking graduate work:

Student's signatureDate

APPROVED SignatureName Typed or Printed

Major advisor

Associate advisor

Associate advisor

APPROVED

The Graduate SchoolDate

DO NOT WRITE BELOW

Admitted Transcripts DATE BY WHICH ALL REQUIREMENTS FORTHE DEGREE MUST BE COMPLETED:

Final ExamCoursesCompleted Passed

Thesis BindingReceived Fee Paid

Form G.S, 4 (rev, 11/95)

COURSE WORKThe plan should be drawn up only in consultation with your advisory committee. Below the dark line, list in chronological order all coursesthat in the opinion of your committee should count toward the master's degree. Above the dark line, list any courses that your committeemay require as background preparation. At least 15 credits of appropriate course work must be listed below the dark line. Your advisorycommittee may require more than the minimum 15, depending on the scope and quality of your preparation and on your objectives. Coursesordinarily are not accepted in transfer. See the Graduate School catalog for further information.

LIST COURSES IN CHRONOLOGICAL ORDER

Semester/Course Leave SummerCourseCredits Blank Year LocationNumber Session InstructorCourse TitleCollege

92-93 Mr. GraySpring Storrs3Ex: U. of Conn. RadiochemistryCHEM 320

The Graduate School expects master'sTotal number of credits

Number of credits at The University of Connecticutdegree students to maintain at least a B(3.00) cumulative grade point average.

...

...

THESISThesis topic

BTHE UNIVERSITY OF CONNECTICUTTHE GRADUATE SCHOOLWhetten Graduate Center438 Whitney Road Ext, U-1006Storrs, Connecticut 06269-1006

PLAN OF STUDY FOR THE MASTER'S DEGREEPLAN B (NON-THESIS)

This plan of study should be completed in triplicate and all copies should be submitted to the Graduate Records Office, Box U-1006,in the Graduate Center when not more than twelve credits of course work to be offered for the degree have been completed. The successfulcompletion of all work indicated on the plan of study is a fundamental prerequisite for the conferring of the degree. All copies of the planof study must be signed below by the student and by each member of the advisory committee before submission to the Graduate RecordsOffice for final approval. When fully approved, copies of the plan of study are returned to the student and to the major advisor.


PLEASE TYPE OR PRINT CLEARLYName in FullMr. MissMs. Mrs.

Soc. Sec. No.LastFirst Middle

Address for reply

Degree sought Field of Study

Area of Concentration, if any(exactly as listed in the Graduate School catalog)

Date by which you expect to complete work for the degree** Formal application by the student to be placed on the list of degree candidates must be filed in the Graduate Records Office. Seethe Graduate School catalog for deadline.

Summarize briefly your objectives in taking graduate work:


APPROVED Name Typed or Printed Signature

Major advisor

Associate advisor

Associate advisor

APPROVED

The Graduate SchoolDate

DO NOT WRITE BELOW

Admitted DATE BY WHICH ALL REQUIREMENTS FORTHE DEGREE MUST BE COMPLETED:

Transcripts

Final ExamCoursesPassedCompleted

Form G.S. 4 (rev. 11/95)

COURSE WORKThe plan should be drawn up only in consultation with your advisory committee. Below the dark line, list in chronological order all coursesthat in the opinion of your committee should count toward the master's degree. Above the dark line, list any courses that your committeemay require as background preparation. At least 24 credits of appropriate course work must be listed below the dark line. Your advisorycommittee may require more than the minimum 24, depending on the scope and quality of your preparation and on your objectives. Coursesordinarily are not accepted in transfer. See the Graduate School catalog for further information.


Semester/SummerLeaveCourseCourse

Year Session Location InstructorBlankCreditsCourse TitleNumberCollege

92-93 StorrsSpring Mr. Gray3CHEM 320Ex: U. of Conn. Radiochemistry

The Graduate School expects master'sdegree students to maintain at least a B(3.00) cumulative grade point average.

Total number of creditsNumber of credits at The University of Connecticut

...

...

Plan of Study for the Degree of Doctor of Philosophy This plan of study should be completed in triplicate and all copies should be submitted to the Graduate Administrative Services - Records,U-1006, Room 202, in the Graduate Center when not more than twelve credits of course work to be offered for the degree have beencompleted. The successful completion of all work indicated on the plan of study is a fundamental prerequisite for the conferring of the degree.All copies of the plan of study must be signed by the student and by each member of the advisory committee before submission to theGraduate Administrative Services - Records for final approval. When fully approved, copies of the plan of study are returned to thestudent and to the major advisor.


PLEASE TYPE OR PRINT CLEARLYName in full

MissMr.Mrs.Ms.

LastMiddleFirst Student I.D.Dr.

Address for reply

Degree and professional diplomas held at present:

Field of doctoral study

Area of concentration (if any)

Major advisor

Associate advisorAssociate advisor

(Associate advisor)(Associate advisor)

LEAVE Date by which all requirementsfor the degree must be completedBLANK

FOR USE ONLY BY THE GRADUATE ADMINISTRATIVE SERVICES

Microfilm agreement rec'dDate of admission Residence requirement met

Copyright fee paidTranscripts Candidacy letter sent

ADVANCE announcement rec'd Binding fee paidCourses completed

Dissertation rec'd Final exam passedSpecial skills passed

Final approval rec'dTentative approval rec'dGeneral exam passed

Abstract rec'd Application for degree rec'dProspectus approved

Survey rec'dTransfer credit to RO Continuous registration OK

THE UNIVERSITY OF CONNECTICUTTHE GRADUATE SCHOOLWhetten Graduate Center438 Whitney Road Ext, U-1006Storrs, Connecticut 06269-1006

College Degree Date Granted Field of Study

COURSE WORKList below all courses to be offered for the Ph.D. degree. If you have a master's degree, list only those courses beyond that degree which, in theopinion of your advisory committee, should count toward the Ph.D. Courses taken at the University of Connecticut or elsewhere, which wouldbe outdated by the time you expect to complete degree requirements, should not be included. Any courses listed from other acceptablegraduate schools must have been completed with grades of B (not B-) or higher.


Total number of credits

Number of credits at the University of Connecticut ...

CollegeCourse

Number Course TitleCourseCredits

LeaveBlank Year

Semester/SummerSession Location Instructor

Ex- U. of Conn. HIST 331 The American Revolution 3 97-98 Spring Storrs Dr. Smith

LANGUAGE(S) AND/OR RELATED AREA(S) OF KNOWLEDGE

At least one foreign language or one related area is required.

FOREIGN LANGUAGE(S) Consult the current Graduate Catalog for methods by which a foreign language

requirement can be fulfilled. List language(s) below.

How to be fulfilledLanguage(s)

1 .

2.

3.

RELATED AREA(S)

A related area must comprise a coherent unit of at least six credit hours of advanced work outside the Field of Study (or Areaof Concentration, if appropriate) and usually outside the department in which the major work of the degree is offered.Ordinarily, the work must be taken at the University of Connecticut. No credits will be accepted in transfer for a related areaunless approved in advance by the advisory committee and The Graduate School.

Course Course LeaveCourse TitleNumberSpecify Related Area College Credit Blank Year

1.

2.

STUDENTS IN PSYCHOLOGY ONLY

If internship is required, check here

and list course number

If you are an employee of the University of Connecticut,

a) Title of position held

b) Whether full-time or part-time (what fraction?)

c) Whether tenure has been granted, and if so, date effective

d) Dates of employment at UConn

RESIDENCE REQUIREMENT

The graduate student can fulfill the special demands of a doctoral program only by devoting a continuous period of time toconcentrated study and research with a minimum of outside distraction or employment. During the second or subsequent yearsof graduate work in the field, at least two consecutive semesters or one semester together with a contiguous summer period(consisting of Summer Session I and Summer Session II) of full-time study must be completed in residence. This period ofresidence must be completed at the Storrs campus, or, if more appropriate, at the Health Center in Farmington or at the MarineSciences and Technology Center at Avery Point.

The essential criterion for full-time study is whether the student is in fact devoting full-time effort to studies, without unduedistraction caused by outside employment. It is left to the advisory committee to determine whether the outside employment ofthe student is a distraction that prevents the student from devoting full-time effort to the planned program. The advisorycommittee should record this determination below.

Specify the residence period (example: Spring Semester 1998 through Summer Session II 1998):

Will there be/was there outside employment during the residence period?

Yes No

If there will be/was outside employment, specify the nature, extent, and periods of such employment.

IN SIGNING THE PLAN OF STUDY BELOW, THE ADVISORY COMMITTEE SIGNIFIES ITS APPROVAL OF THERESIDENCE PERIOD AS SPECIFIED ABOVE AS WELL AS ITS APPROVAL OF ALL OTHER REQUIREMENTS FORTHE DEGREE AS INDICATED HEREIN. A COPY OF THE PLAN OF STUDY IS RETURNED BOTH TO THE STUDENTAND TO THE MAJOR ADVISOR WHEN IT RECEIVES FINAL APPROVAL FROM THE EXECUTIVE COMMITTEE OFTHE GRADUATE FACULTY COUNCIL.


Major advisorApproved:

Associate advisor

Associate advisor

(Associate advisor)

(Associate advisor)

ApprovedDate The Graduate School

Form GS 36 (Rev. 1/97)

REPORT ON THE FINAL EXAMINATION FOR THE MASTER'S DEGREE

This report shall be submitted to the Graduate Records Office. Box U-1006, by the major advisor immediately followingthe examination. If both written and oral sections are given, or if the examination is given in several parts, one reportshould cover the entire examination. The report should be submitted whether the examination, as a whole, has beenpassed or failed. The report may be prepared in duplicate, but only the original should be submitted. The second copy isto be retained by the major advisor.

Name of studentSoc. Sec. #

1. Written section, if any

a. Date(s) given

b. Faculty members participating

2. Oral section, if any

a- Date(s) given

b. Faculty members participating

3. Results of the entire examination

Comments, if any

(Indicate whether a reexamination is recommended.)

Date Signatures:

Major Advisor

Associate Advisor

Associate Advisor

(Associate Advisor)

Form GS 40-7/96


REPORT ON THE FINAL EXAMINATION FOR THE DOCTORAL DEGREE

This report shall be submitted to the Graduate Records Office, Box U-1006, by the major advisor immediately followingthe examination. In any event, it must be submitted not later than August 31 for conferral of a Summer degree, not laterthan December 31 for conferral of a Fall degree, and not later than thirteen days prior to the date of Commencement forconferral of a Spring degree.

Name of student

1. FINAL (ORAL) EXAMINATION

a. Date given

b. Faculty members participating (minimum of five)

2. RESULT OF THE EXAMINATION

3. COMMENTS, IF ANY

DATE: SIGNATURES:

Major Advisor

Associate Advisor

Associate Advisor


Form GS 46 - 5/90

UNIVERSITY OF CONNECTICUTTHE GRADUATE SCHOOLWhetten Graduate Center438 Whitney Road Ext, U-1006Storrs, Connecticut 06269-1006

DISSERTATION PROPOSAL FOR THE Ph.D. DEGREEPlease follow carefully the instructions on the reverse side.

Student ID #

LastM.I.First

E-mail addressTelephone #

Mailing address for reply

Field of Study

Area of Concentration (if any)

Title of proposed dissertation

Date by which you expect to complete the dissertation

Student's signature Date

Use of Human or Animal SubjectsIf human or animal subjects are involved in the proposed research, special forms must be completed and approval must begranted. HUMAN SUBJECT means a living individual about whom an investigator either obtains data through intervention orinteraction with the individual or obtains personally identifiable private information. ANIMAL SUBJECT means any live,vertebrate animal. For Storrs Campus Information, call (860) 486-3337. For Health Center Information, call (860) 679-2142for human subjects or (860) 679-4129 for animal subjects.

Approved by the Advisory Committee: names typed names signed

IMajor Advisor

IAssociate Advisor

IAssociate Advisor

I(Associate Advisor)

I(Associate Advisor)

Reviewed and Approved by the Department or Program [or Review Committee in School of Education or at Health Center]:

Read by two reviewersDissertation ProposalReview Option

Student presentation to Advisory Committee and two reviewers(check one) .

Review Committee

Department or Program Heador Review Committee Chairperson Date- Signature

Do not write below

Received by the Graduate School DateSignature

MissMr.Mrs.Ms.

Dr.

Student's name in full

( )

INSTRUCTIONS

The Dissertation Proposal should be written, reviewed, and fully approved before preparation ofthe dissertation is well underway. Any delay in timely review and approval of the Proposal mayresult in wasted effort on a dissertation. At the latest, your Proposal should be ready for finalreview at least six months before your expected date of degree completion. Once the Proposal isapproved by the members of your advisory committee, submit your Proposal to the Head of yourDepartment or Program [or to the Chairperson of the Review Committee if you are a doctoralstudent in the School of Education or at the Health Center]. Your Plan of Study must be fullyapproved at the time your Proposal is submitted for final review.

Required are- 1. an accurate title2. a concise statement which includes (a) the purpose, importance, and novelty

of the study; (b) methods and techniques to be used; and (c) availabilityand location of research facilities

3. a selected bibliography.

The Proposal is to be as BRIEF as possible without sacrificing completeness. A statement of notmore than ten pages usually is sufficient. Proposals of unnecessary length are discouraged sincereviewers lack the time to read them.

The Proposal is to be typed and double-spaced, and it should be prepared with the care andattention to style required for scholarly writing and publication in your field. Often, discussion ofprevious relevant work in the area of the proposed study is essential.

When your Dissertation Proposal is ready for approval by your advisory committee, print threeidentical copies. Complete this form in triplicate and staple one copy to the front of each of thecopies of the Proposal. Each member of your advisory committee then signs each of the threecopies where indicated on the reverse side. Finally, all three copies of your Proposal are to besubmitted for review to the Head of your Department or Program [or to the Chairperson of theReview Committee if you are a doctoral student in the School of Education or at the HealthCenter].

When fully approved, you and your Major Advisor each will receive a copy of the Proposal.The remaining copy will be forwarded to the Graduate School.

(revised10/15/98)

REPORT ON THE GENERAL EXAMINATION FOR THE DOCTORAL DEGREE

This report shall be submitted to the Graduate Records Office, Box U-1006, by the major advisor immediately followingthe examination. If both written and oral sections are given, or if the examination is given in several parts, one reportshould cover the entire examination. The report should be submitted whether the examination, as a whole, has beenpassed or failed. The report may be prepared in duplicate, but only the original should be submitted.

Name of student

Written section, if anyI .

a. Dates given

Faculty members participating *b.

2. Oral section, if any

a. Dates given

Faculty members participating *b.

* A total of at least five faculty members, including the members of thestudent's advisory committee, must participate in the General Examination.

3. Results of the entire examination

Comments, if any

(Indicate whether a reexamination is recommended.)

Date Signatures:

Major Advisor

Associate Advisor

Associate Advisor

Form GS 11-5/90


Announcement of Ph.D. Dissertation Oral Defense

TO: Graduate Records OfficeWhetten Graduate Center438 Whitney Road Ext., Unit 1006Storrs, CT 06269-1006phone (860) 486-0978fax (860) 486-6739

/ /FROM:Unit # PhoneMajor Advisor

Please type or print very clearly!

Ph.D. DISSERTATION ORAL DEFENSE (Final Examination)

Day of Week

Date

Field of Study

Title of Dissertation

Name of Student

Last Name of Major Advisor

BuildingTime RoomNumber

UConn AdvanceU-41441266 Storrs RoadStorrs, CT 06269-4144phone (860) 486-3530fax (860) 486-2063

Send onecompleted

form to eachaddress.

Notices should be submitted at least three weeks priorto the date of the Oral Defense. Delayed submission may result inpostponement

Publication schedules vary in the summer months. Contact theGraduate Records Office if a summer Defense is planned.

Instructions:

Rev. 4-23-2001

Doctor of PhilosophyDissertation

PAGEAPPROVALTENTATIVE

This form, bearing the signatures of all members of the Advisory Committee, mustbe submitted with the working copy of the Dissertation at least seven days before thedate of the Oral Defense.

Candidate's name

THE DISSERTATION IS APPROVED TENTATIVELYPENDING THE RESULTS OF THE ORAL DEFENSE.

Major Advisor

Associate Advisor

Associate Advisor

(Associate Advisor)

(Associate Advisor)

DATE RECEIVED


Submission of this form, properly completed, to the Graduate Records Office (Box U-1006, Whetten Graduate Center) isrequired of any student about to complete a graduate degree in any Field of Study listed below. Certification of completionof degree requirements is withheld until this form is received.

Computer ScienceAerospace EngineeringBiomedical Engineering MetallurgyElectrical Engineering

Ocean EngineeringPolymer Science

Environmental EngineeringCivil Engineering Materials Science

Student

Identification Number

Major Advisor

Please check the item below which applies to this student

All keys belonging to the School of Engineering and/or IMS have been returned. Allproperty belonging to the School of Engineering, IMS or to their faculty members has beenreturned (e.g., books, equipment, instructional and/or research materials, etc.). Alllaboratory space has been cleared and all hazardous materials have been disposed of safely.All file storage on School of Engineering or IMS computers has been cleared and allborrowed software returned.

SIGNATURES:

DateStudent

DateMajor Advisor

Department/Program Head Date

DateOffice of the Dean of Engineering

Office of the Director, IMS Date

Date received in the Graduate Records Office

cc: Engineering Computer Systems Manager (the copy serves as the official notification for closing down the student'saccounts).

Rev. 10/92

CLEARANCE NOTICEfor Engineering and Institute of Materials Science (IMS) Students Completing a Graduate Degree

Chemical Engineering

Mechanical Engineering

This student is completing a master's degree and is continuing on directly to pursuedoctoral study. He or she is not required to relinquish keys or other School ofEngineering or IMS property at this time.

Check all thatare appropriate


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