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BME Department DocuSign Request (MS and PhD)
Use this form to request the following forms to be initiated via DocuSign:
1. MS Advancement to Candidacy
2. MS Thesis Signature Page
3. PhD Form I (Advancement to Candidacy)
4. PhD Form II
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* Indicates required question
Name
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Your answer
UCI Email
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Your answer
Student ID (SID)
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Your answer
Form Requested
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MS Advancement to Candidacy
MS Thesis Signature Page (i.e. Graduation Form)
PhD Form I (Advancement to Candidacy/Qualifying Exam)
PhD Form II (i.e. Graduation Form)
PI/Committee Chair - NAME AND UCI EMAIL, separated by a space only. Please do not include additional parenthesis or commas between the faculty's name and their email addresses for committee members.
For example, your response should be formatted like: Maggie Mulcare mmulcare@uci.edu
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Your answer
Committee Member 1 - NAME AND UCI EMAIL
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Your answer
Committee Member 2 - NAME AND UCI EMAIL
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Your answer
Committee Member 3 - NAME AND UCI EMAIL (for PhD Qualifying Committee)
Your answer
Committee Member 4 - NAME AND UCI EMAIL (for PhD Qualifying Committee - the "Outside Member")
Your answer
Oversight Member if a Conflict of Interest has been identified - NAME AND UCI EMAIL
Your answer
Your exam or defense date (and/or date you are requesting the form to be created)
For Master's students (advancement or graduation), please just enter today's date or the date you wish your form to be created
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MM
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DD
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YYYY
Special requests, comments, or notes for the form initiation
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