ADA Dissertation Proposal Defense Approval Form

Adult Development & Aging Doctoral Program
A Joint Program of
Cleveland State University & The University of Akron
Dissertation Proposal Defense Approval
Name
Procedure
The deadline for completing the master’s proposal defense is April 1 of the fourth year. Approval of the
dissertation proposal defense must be documented and on file with the Program Chair. This completed
form is due to the Program Chair on or before April 1.
Date of Proposal Defense
I defended my dissertation proposal on
(Date)
Title:
Signatures
Student:
_________________________________________
Date: ______________
Print Name:
By signing below, you agree that the student has passed his or her dissertation proposal defense and
may move forward with his or her study (i.e., collecting data, analyzing data):
Advisor:
Print Name:
________________________________________
Date: ______________
UA Committee Member: ________________________________
Print Name:
Date: ______________
CSU Committee Member: _______________________________
Print Name:
Date: ______________
Outside Committee Member: ___________________________
Print Name:
Date: ______________
Committee Member____________________________________
Print Name:
Date: ______________
Program Chair: ________________________________________
Print Name:
Date: ______________