Cancer Biology Student Financial Support-Advisor Complete

Phone
This field is for validation purposes and should be left unchanged.
DATE*
MM slash DD slash YYYY
YOUR NAME*
YOUR HOME DEPARTMENT NAME*
YOUR HOME DEPARTMENT'S HR/PAYROLL CONTACT'S NAME & EMAIL ADDRESS*
STUDENT'S NAME*
Funding Information (e.g., start-up funds, grant)
CONSENT*
I AGREE TO FINANICALLY SUPPORT THIS GRADUATE STUDENT FOR THE DURATION OF HIS/HER PHD STUDIES
CONSENT*
I APPROVE THE ROTATION-PAYBACK THAT THE CANCER BIOLOGY GRADUATE PROGRAM WILL REQUEST THAT COVERS THE COST OF THE STIPEND PLUS BENEFITS FOR THE TIME THE STUDENT WAS ROTATING IN YOUR LABORATORY
CONSENT*
ACCORDINGLY I UNDERSTAND THAT THIS STUDENT WILL BE TRANSFERED TO MY FUNDING ON A DATE THAT WILL BE AGREED UPON ONCE I AM CONTACTED BY ONCOLOGY'S HR AND PAYROLL REPS