Policies and Forms

J810/G901 Evaluation Form

Date: _____________________________________________________________________

Student: ___________________________________________________________________

Course: ___________________________________________________________________

Number of Credits: __________________________________________________________

• 1st Semester (Fall): _______________________________________________________
   
• 2nd Semester (Spring): ____________________________________________________
   
• 3rd Semester (Summer I): __________________________________________________
   
• 4th Semester (Summer II): _________________________________________________

Committee Members Present:

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

Summary of Student's Progress:

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

SIGNATURE: _______________________________________________________________

GRADE: ___________________________________________________________________

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