Dissertation Research Defense Form
Todays Date: ________________________
A draft of the dissertation was submitted to the Dissertation Advisory
Committee
members at least fifteen (15) working days prior to the Dissertation
Research Defense.
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Student Name (printed) Student Name (signature) Date
The Dissertation Research Defense was successfully completed on
___________________,
subject to the following:
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___________________________ ___________________________ _____________
Advisor Name (printed) Advisor Name (signature) Date
THIS FORM SHOULD BE SUBMITTED TO THE PH.D. PROGRAM COORDINATOR
IMMEDIATELY AFTER THE DISSERTATION DEFENSE.
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