ANNUAL PROGRESS REPORT – PhD - 2012						FORM 3

PART 1.	

NAME______________________________	       			STUDENT ID#_______________ 

CURRENT ADDRESS_____________________________________________

HOME PHONE__________________			      CELL PHONE__________________

E-MAIL_________________________

PROGRAM (circle)    EEB      MCD		MAJOR PROFESSOR(S)_____________________

PART 2.

Were you an author of a(n):			YES			NO
			Abstract			____			___
			Presentation		____			___
			Paper			____			___
			Grant (PI or Co-PI)	____			___

If yes, please attach a copy (from grants or publications, only the cover or first page) of each.

COURSEWORK COMPLETED (circle)		YES			NO

REGISTERED IN CANDIDACY (circle)		YES			NO

ANTICIPATED PROGRAM COMPLETION (month/year)______________________

Indicate whether the following forms have been completed and returned to the Director of Graduate Studies:
	FORM 1 (Composition of Graduate Committee)	YES			NO
	FORM 2 (Program of Study)			YES			NO
	FORM 4 (Report of Qualifying Exam)		YES			NO
	FORM 6 (Report of Defense)			YES			NO

PART 3.          APPLICATION FOR TEACHING ASSISTANTSHIP		2013 - 2014

This application is for (circle all that apply):SUMMER 2013/ Fall 2013/ Spring 2014

PART 4.

The annual meeting of my Student Advisory Committee was held on_______________.   The SAC voted ___ to ____ that the student was/ was not making satisfactory progress in the program (comments, if any, from the SAC should be appended).	

___________________	___________________	__________________	____________________
	Student			Mentor		     SAC Member		        SAC Member 

						__________________	____________________
						     SAC Member		       SAC Member

YOU MUST ATTACH A COPY OF A CURRENT TRANSCRIPT TO THIS REPORT WHEN SUBMITTED TO THE DIRECTOR OF GRADUATE STUDIES.