Please follow these procedures and complete this form to finish your residency at the Language Technologies Institute. Fields marked with a * are required. Student First Name * Student Last Name * Select the degree program you are completing * PhD in Language and Information Technologies LTI/Portugal (ICTI) PhD in Language and Information Technologies MLT - Masters in Language Technologies MSBIC - Masters in Biotechnology Innovation and Computation MIIS - Masters in Intelligent Information Systems MCDS - Masters in Computational Data Science Advisor(s) * Date of Departure * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20172018201920202021 Office Number (for example, GHC 5404) CS User ID * List all CS machines for which you are the primary user Would you like to be added to the LTI Alumni email list? Yes No New Employment Information Employer Job Title Did you previous do an internship at this company? Yes No Salary Signing Bonus, if any? Please describe your stock options and annual bonus arrangements, if any How many formal employment offers did you receive, including the offer you accepted? What companies made these offers? Work Mailing Address Work Phone Work Email Work URL New Contact Information Home Mailing Address Home Phone Personal Email Personal URL BEFORE YOU LEAVE Remove all personal belongings from your office space. If you have any office keys, return them to your Graduate Program Coordinator. Set up email forwarding. Your CS account will be discontinued shortly after you leave. Transition your personal webpage to a new host. Make sure that your student account balance is $0 by checking Student Information Online (SIO) at http://www.cmu.edu/hub. If you would like to cancel your health insurance, contact the Student Health Office at (412) 268-2157. Update commencement information online at http://www.cmu.edu/hub. Update your alumni information on the SCS website at http:www.cs.cmu.edu/alumni. If you anticipate reimbursements after your departure, complete an FCPA form and submit to firstname.lastname@example.org. For employment verification, contact the CMUWorks Service Center via telephone at (412) 268-4600 or (844) 625-4600, or via email at email@example.com. Good luck in your future career!