COLORADO SCHOOL OF MINES
OFFICE OF GRADUATE STUDIES
Thesis Defense Request Form
• Student is responsible for submitting this form to the department/division a minimum of one
week prior to the defense date.
• Student must submit final version of thesis to Committee members as specified by the program
or if not specified no less than one week prior to the defense date.
• Admission to Candidacy must be approved prior to the thesis defense.
• Student must be registered at the time of defense.
Student Name: Date:
CWID:
I wish to schedule my thesis defense as follows:
Date: Time: Bldg/Rm:
Degree Title:
ME MS PhD
Thesis Title:
All committee members have been contacted and their initials below signify their willingness to
participate in this thesis defense. In addition, the department, division or program head has been
informed and acknowledges that in scheduling this defense the candidate has met any departmental,
divisional or programmatic requirements related to the scheduling of a thesis/dissertation defense.
Please print name, initial and include your department.
____________________________________ ____________
Advisor Date
____________________________________ ____________
Advisor Date
____________________________________ ____________
Chairman Date
____________________________________ ____________
Committee Member Date
____________________________________ ____________
Committee Member Date
____________________________________ ____________
Committee Member Date
____________________________________ ____________
Committee Member Date
____________________________________ ____________
Department/Division/Program Head Date
