Addendum 2: Sample "Annual Report Form"

(To be completed by the Thesis committee chair at each meeting. The previous report will be supplied to the Thesis committee in preparation for the annual meeting.)

Date:

Student Name:                                           Signature:______________ Agree ____ Disagree_____

Mentor:                                                         Signature:______________ Agree ____ Disagree_____

Date of last meeting:

Date of MMB Presentation:

Comments on MMB Presentation:

Areas discussed at today’s meeting:

Resolution of problems, if applicable, from last meeting:

Problem areas identified:

Specific agreement(s) to resolve problems (include time frame):

Next meeting should be scheduled for: One year____ Or, in how many months?____

Overall performance: Satisfactory ____ Unsatisfactory ___

Committee Chair: ______________________

Signed: ___________________________