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Laboratory Rotation Agreement - Student

Student Name*
Degree*
Rotation Preceptor Name*
Rotation Start Date
Rotation End Date*

Laboratory Rotation Agreement - Rotation Preceptor

Who will directly supervise the student?
maximum: 20 hours/week while taking core courses
Select all that apply*
Has the student met with his/her first year advisor?*

At the end of this rotation the student will meet with the rotation preceptor and complete the Laboratory Rotation Evaluation Form.

If, at the end of the rotation period, you and the student wish to have the student join your lab, will you have sufficient space and financial support to host the student?*
Choose one:
(If your approver is not listed, email gs-admin@mssm.edu to have them added.)

BY SIGNATURE, I VERIFY THAT I HAVE DISCUSSED THE LIKELIHOOD OF MY HAVING SPACE AND FINANCIAL SUPPORT, SHOULD THIS STUDENT AND I WISH TO CONSIDER A THESIS DEVELOPMENT AFTER THE ROTATION PERIOD.

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Student Approval

Approve*
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Graduate School Office Approval

Approve*
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