PhD Warrant Request Form

Cancer Biology PhD Defense Warrant Request Form

Please be advised that the Graduate School requires a 3-week notice to complete all warrant requests. In addition, please review the Graduate School's degree deadlines (preliminary exams and holding your defense and depositing your dissertation): https://grad.wisc.edu/currentstudents/degreedeadlines/. Contact the Cancer Biology Graduate Coordinator with questions.

Name
This field is for validation purposes and should be left unchanged.
Name:*
First Last
Advisor Name:*
Last, First Department
Designated Meeting Chair Name:*
Last, First Department
Committee Member Name (third):*
Last, First Department
Committee Member Name (fourth):*
Last, First Department
Committee Member Name (fifth):*
Last, First Department
Optional: Additional Committee Member Name
Last, First Department
Date of Final PhD Defense:*
MM slash DD slash YYYY
Meeting Format*
- In-Person
- Virtual
Meeting Location (Rm. Number and Building Name) or Virtual Meeting address:*
Working Research Title or Dissertation Title:
When do you plan to deposit and be removed from payroll?*