M.R.P. Results of Exam Form

Instructions:

This form must be signed by all of the student's exit project advisors.
Submit the completed form to the graduate field assistant, 106 Sibley Hall, within three business days of the exam.

Fields marked with * are required.

First Name *

Middle Initial

Last Name *

Cornell ID *

Gender

Email *

Outcome of Exam

Date of exam: _________________

Result

Pass Fail Conditional Pass

Comments:

Committee Signatures of Approval

Upon consensus of the results, all members of the Exit Project Committee or their proxies must sign this form. Signatures also attest to attendance at examination.

Exit Project Advisor Name NetID Exit Project Advisor Signature Date

Exit Project Minor Advisor Name NetID Exit Project Minor Advisor Signature Date

Graduate Field Assistant Name NetID Graduate Field Assistant Signature Date

Field Use Only

Date Processed: _____________ Entered in Database

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