Oral Exam Certificate

This form is required for all School of Medicine graduate students enrolled in a PhD or master's thesis degree program, and must be approved within two (2) business days following an oral examination.

The Oral Exam Certificate indicates whether the Oral Examination Committee considered the examination to be satisfactory or unsatisfactory. An examination is considered satisfactory if a majority of the members record votes of satisfactory. A tie vote will be considered as unsatisfactory.

Prior to submission, students must have submitted: 1) Request for Oral Examination Once the form has been successfully routed, the student and program representative will receive a confirmation via email.

Questions? Contact Graduate Studies at somgrad@ohsu.edu.

Student Information

UID*

Please list the "U" before the ID number (e.g. U12345678)

Student First Name*

Student Last Name*

OHSU Email*

Program Coordinator Name*

Program Coordinator Email*

Major*

Select or enter value

Degree*

Select

Date of Exam*

MM/DD/YYYY

Dissertation/Thesis Title*

Completion of GR Position

If you are a Ph.D. student, receiving a stipend, and currently covered by the GRU Collective Bargaining Agreement, please complete the following section, GR's are considered to have completed their academic progress upon submitting their dissertation and receiving their binding receipt from the OHSU Library. The binding receipt date is subsequently used as the date of termination or transfer for the GR position. Please contact our GR Admin (gradmin@ohsu.edu) with any questions.

Anticipated Binding Receipt Date*

Please enter the date you anticipate turning in your dissertation to the library and receiving your binding receipt. If this date changes, please reach out to the Graduate Studies office (somgrad@ohsu.edu) and the GR Admin (GRadmin@ohsu.edu).

Internal Transfer to OHSU Position*

Do you plan to transfer into a full-time or part-time position at OHSU after completing your dissertation and academic progress? If so, please list:

Select

Internal Transfer Additional Details

If you do plan to transfer internally at OHSU, please list:

The department and manager with whom you will be starting your new position.
The date you plan to start your new position.
Any additional relevant details.

Committee Chair's Information

Chair Name*

Chair's Email*

Mentor's Information

Mentor Name*

Mentor's Email*

Member A's Information

Member A*

Member A: Email*

Additional Committee Members Information

Additional Members*

Would you like to add any additional committee members? For committees with more than 7 members in total, please contact Graduate Studies at somgrad@ohsu.edu for further instructions before submitting.

No Additional Member(s)

1 Additional Member

2 Additional Members

3 Additional Members

Member B*

Member B: Email*

Member C*

Member C: Email*

Member D*

Member D: Email*

Send me a copy of my responses

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