School of Medicine and Biomedical Sciences
May 12, 2005 Biomedical Sciences Commencement
Registration for Graduate Students
Registration Deadline FEBRUARY 11, 2005
COMPLETION OF ALL FIELDS IS REQUIRED
Degree:
M.A.
M.S.
Ph.D.
Degree Conferral Date:
September 1, 2004
February 1, 2005
June 1, 2005
I
will
will not
attend May 12th Commencement
Expected Number of Guests:
* Note: Tickets are not required; unlimited seating available.
First/Middle:
Last Name:
(As you want it to appear in the commencement program)
Phonetic Spelling:
(This is how your name will be pronounced at graduation)
*
Person Number:
UB Email:
Local/Cell Phone:
(999.999.999)
Local Address:
City:
State:
AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MP
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
AB
BC
MB
NB
NL
NS
NT
NU
ON
PE
QC
SK
YT
Zip:
Address AFTER Commencement:
City:
State:
AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MP
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
AB
BC
MB
NB
NL
NS
NT
NU
ON
PE
QC
SK
YT
Zip:
Thesis Title:
Final
Tentative
Mentor Name:
First:
Last:
Degree:
Department:
Biochemistry
Biotechnology and Clinical Laboratory Sciences
Cancer Pathology and Prevention, RPCI
Cellular and Molecular Biology, RPCI
Immunology, RPCI
Interdisciplinary Master of Science, Natural Sciences, RPCI
Microbiology and Immunology
Molecular and Cellular Biophysics / Biochemistry, RPCI
Molecular Pharmacology and Cancer Therapeutics, RPCI
Neuroscience Program
Pathology and Anatomical Sciences
Pharmacology and Toxicology
Physiology and Biophysics
Structural Biology
Post-Doctoral Position
(if known)
Post-Doctoral Mentor:
Institution:
Address:
City:
State:
AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MP
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
AB
BC
MB
NB
NL
NS
NT
NU
ON
PE
QC
SK
YT
Zip:
Congratulations on your achievement! Please feel free to write comments to
ehayden@buffalo.edu
regarding your program of study or any facet of your graduate experience as well as your future goals. In addition, any changes in the tentative dissertation title should be emailed by February 25th. Changes after that date are not likely to be made in the Commencement Program.