#  Forms 

 



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Below are the forms you will need as an SHBT Student, along with the deadlines of when they are due. Please submit all completed forms to the Program Administrator: [SHBT\_Program@hms.harvard.edu](mailto:///SHBT_Program@hms.harvard.edu)

[Student Rotation Report](/resource/student-rotation-report2025 "Student Rotation Report_2025")

[Faculty Rotation Feedback Report](https://my.harvard.edu/)

[Dissertation Advisor Declaration Rates](https://www.dropbox.com/scl/fi/2xvabzf94u0zvwuhmff52/DMS-Student-Rates-FY26-06.05.25.pdf?rlkey=t5bp90jftro2yeu6sgc5gl6bh&st=qcm773uq&dl=0)  
  
[Plan for Concentration](/sites/g/files/omnuum5491/files/2025-04/planforconcentration_2025.pdf "Plan for Concentration")

[Request for Oral Examination](https://shbtphd.hms.harvard.edu/sites/g/files/omnuum5491/files/2025-04/Request%20for%20Oral%20Examination_2025.pdf)

[Oral Qualifying Examination Report ](/sites/g/files/omnuum5491/files/2025-08/QE%20Report.pdf "QE Report")

[Dissertation Advisory Committee Proposal Form](https://shbtphd.hms.harvard.edu/sites/g/files/omnuum5491/files/2026-05/dissertation_advisory_committee_proposal_form_2024_10-1%20%281%29.pdf)

[Co-Chair: Dissertation Advisory Committee Proposal Form](https://shbtphd.hms.harvard.edu/sites/g/files/omnuum5491/files/2026-05/Co-Chair%20Dissertation%20Advisory%20Committee%20Proposal%20Form.pdf)

[Dissertation Advisory Committee Report ](/sites/g/files/omnuum5491/files/2025-04/DAC%20report%20form_0.pdf "DAC Report Form_2025")

[Mentor/Trainee Conflict of Interest Disclosure and Guidelines](https://shbtphd.hms.harvard.edu/sites/g/files/omnuum5491/files/2025-04/conflictofinterestdisclosure_2024_0.pdf)

[Individual Development Plan](/file_url/496) for [Here](https://hms.az1.qualtrics.com/jfe/form/SV_269yP4k4aaBODz0)

**Travel and Reimbursement Forms**

[Travel Request Form](/file_url/301) Submit before travel to a conference, when expenses are to be paid from a travel allowance.

[Payment Request Form](/file_url/302) Submit after travel to a conference, to request payment from a travel allowance. Submit with original paper receipts, or with a Missing Receipt Affidavit and documentation of expenses.

[Student Reimbursement Form](/file_url/303) For reimbursement of purchases made on behalf of the department, e.g. catering for a department or student event. Submit with original paper receipts, or with a Missing Receipt Affidavit and documentation of expenses.

[Missing Receipt Affidavit](/file_url/304) This form is for reimbursement of expenses without an original paper receipt, including receipts received by email (e.g. airline flight receipts) and online confirmations of charges. Submit with a copy or screenshot of your credit card or bank statement, showing the charge.