Form Dissertation_Proposal

Graduate Studies Office
School of Engineering and Applied Science
Thornton Hall A108
Date
Dissertation Proposal and Admission to Candidacy
Name
University
or SIS id
(last, first middle)
The above named student is hereby certified as having met all the requirements of admission to candidacy for the Ph.D.
degree in
Included among these requirements are the following:
Ph.D. exam passed on:
Public defense of dissertation proposal passed on:
A student must have satisfactorily completed the PhD examination and have received approval for the
dissertation proposal before being admitted to candidacy. Admission to candidacy must be completed
at least one semester before the degree is awarded.
Working title of dissertation:
Anticipated date of degree:
Term :
Year :
Statement of any necessary changes in student's program or of any special conditions:
Examining committee (at least four (4) committee members required):*
Name (print or type)
Department, Institution, or Organization*
Signature
Chairperson
Outside member
Approved by Program:
A completed Engineering Dissertation Proposal Assessment form MUST be submitted with
this report to the Graduate Studies Office.
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