ࡱ> .0- +bjbjΚΚ *+xxxxx L,Dxxx xxCw [0Lc,~~x L~ >:   Institute of Cognitive Science Ph.D. Program in Cognitive Science Dissertation Certification Form Note: This form should be used for verifying that the student has successfully completed an interdisciplinary dissertation in Cognitive Science following the program guidelines. Student Name: Department: The original contributions of the dissertation research exploit state of the art methods from the perspective of at least two disciplines. At least one supervisor is an ICS faculty fellow Relevant Supervisor Signature of Supervisor The doctoral committee includes at least two ICS faculty fellows from outside the home department: (The supervisor listed in Section A above may also be included here.) First Relevant Committee Member Signature of Committee Member Second Relevant Committee Member Signature of Committee Member Additional committee members: Third Relevant Committee Member Signature of Committee Member Fourth Relevant Committee Member Signature of Committee Member Fifth Relevant Committee Member Signature of Committee Member Sixth Relevant Committee Member Signature of Committee Member To Be Completed by ICS Status: Approve Decline Date: Other Action: Signed: ICS Academic Programs Director Return this form to: Attn: Academic Programs Director Institute of Cognitive Science Office University of ֱ Muenzinger Psychology Building Room D424, Campus Box 344 Boulder, CO 80309-0344 ch$ % & / > H  " ; @  1 7 X \ |  0 5 V [ z     + 5 + h 56h h >* h 5-Bbc  0 1 H I   " # A B C   6 7 ] p^p8^8 & F$a$] ^   5 6 [ \    ! 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