Request for Transfer from PhD to MSBS Header Image

REQUEST FOR TRANSFER FROM PHD TO MS IN BIOMEDICAL SCIENCES

By completing and submitting this form, I hereby request to withdraw from the PhD program and transfer to the Master of Science in Biomedical Sciences program.

Student Name
Forwarding Address
Phone Type

REASON FOR REQUESTED TRANSFER

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Thesis Committee Chair Name
MTA/Program Track Director Name
Date of MSBS Thesis Defense:
Effective date of requested transfer:
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:  

Thesis Committee Chair Approval

We have met with this student and support this request for transfer to MSBS

Date/Time
:  
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MTA/Program Track Director Approval

We have met with this student and support this request for transfer to MSBS

Date/Time - Copy
:  
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Final Approval - Graduate School Senior Associate Dean for Student Affairs - Basil Hanss

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Final Approval - Registrar’s Office

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To be completed AFTER MSBS Thesis Deposit - Financial Aid: Dale Fuller, Ann 12-70

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To be completed AFTER MSBS Thesis Deposit - Bursar: Phillip Parke, Ann 12-70

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To be completed AFTER MSBS Thesis Deposit - Health Insurance, Leonara Dasu, Ann 12-70

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To be completed AFTER MSBS Thesis Deposit -Levy Library: Circulation Desk, Ann 11th floor

Return all books and library card, clear fines

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To be completed AFTER MSBS Thesis Deposit - Real Estate: Cynthia Morales, 1249 Park Avenue, 1st Floor

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To be completed AFTER MSBS Thesis Deposit - International Personnel: Hamel Vyas, 19 East 98th St, 1st Flr Room E-106

International Students Only

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To be completed AFTER MSBS Thesis Deposit - Graduate School Financial Services- Osei Tutu (PhD & MD/PhD students only)

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Exit Interview

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FINAL CLEARANCE

ALL ACCOUNTS CLEARED

UPDATED CV SUBMITTED WITH FORWARDING INFORMATION

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