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Bouchet Honor Society Nominee Completion Form

Nominee Information
This form is to be completed by the student being nominated for induction

First Name

Last Name

Student Howard ID (HUID)

Student personal email

Student Howard (@bison.howard.edu) email

Student phone number (xxx-xxx-xxxx)

I attest that I have fulfilled all departmental requirements and am now eligible for admission to candidacy for my Ph.D. program.

Department

Program of Study/Degree Program

Dissertation Title

Date Qualifying Exam Passed (mm/dd/yyyy)

Expected Graduation Date (semester/year)