PhD MSE Checkout Form
Please be sure to review the PhD degree graduation requirements on TGS's website found here: https://www.tgs.northwestern.edu/academic-policies-procedures/policies/phd-degree-requirements.html.
Sign in to Google to save your progress. Learn more
First name *
Last name *
PI *
Graduation Term (i.e. F2020, W2021, Sp2021, Su2021) *
Personal email for the department to keep in touch
Future employer (name of company/university/etc.), if applicable
Employer website, if applicable
Forwarding mail address *
I have confirmed an "end date" with my faculty advisor and have returned all tools, equipment, research notebooks, reference books, and supplies. *
Required
What is your established end date at the university?  This needs to be communicated to Lizette Aparicio (lizette.aparicio@northwestern.edu) and will be the last day counted for your stipend. *
MM
/
DD
/
YYYY
I confirm that I have contacted Lizette Aparicio (lizette.aparicio@northwestern.edu) to finalize: 1) Paperwork signed for Graduate School, 2) Payroll Information completed/Check, 3)Insurance Deduction *
Required
I confirm that I have contacted Mimi Givens at matsci@northwestern.edu to return all keys that were issued to me by the department office. *
I have contacted our Laboratory Safety Contact and confirm all chemicals that were used by me in my research were properly disposed of and accounted for. *
If you indicated N/A to the previous question regarding Laboratory Safety, please explain why here.
I have contacted the Materials Science Engineering Librarian (Anna Ren: annawu@northwestern.edu) and confirmed all library books, bound and current periodicals are returned.  When contacting the Librarian, please be sure to provide your full name and NetID. *
Required
I have emailed Murphy Sharp (murphysharp2021@u.northwestern.edu) a PDF copy of my thesis for the department's records.   *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy