Request for Ph.D. Warrant Form

Contact Kate Ryan, Graduate Program Coordinator, at cryan7@wisc.edu with questions about this form.

Student Information*
Student Name Thesis Advisor
Date of Request*
MM
DD
YYYY
Major*
- Biochemistry
Minor*
- No minor required
Defense Date*
MM
DD
YYYY
Defense Time*

: HH

MM
Would you like your defense livestreamed?*
- Yes
- No
Graduation*
Year Semester
Do you plan to attend Commencement?*
- Yes
- No
List your thesis committee members*
List your Thesis Advisor first, then click the + to add more committee members.
Dissertation title*