Fillable D ISSERTATION CLEARANCE (University of the Incarnate Word)

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D ISSERTATION CLEARANCE (University of the Incarnate Word)

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D
ISSERTATION CLEARANCE
Graduation Date (month/year) Student ID
Name
School or College
Program Concentration
Dissertation Title
Committee Members
Please print
names of
committee
members.
Program Clearance (Dissertation Approval)
PROGRAM DIRECTOR: Please sign and date to confirm completion of all program requirements except for those listed in
the checklist.
Program Director Date
(signature)
(printed name)
CHECKLIST
Account opened at The Athenaeum and dissertation pdf uploaded.
Survey of Earned Doctorates certificate of completion submitted.
IRB protocols closed. IRB Office initials: / Date .
Account opened and dissertation deposited in the UIW ProQuest ETD Administrator.
Final format of dissertation approved.
APPROVAL OF DISSERTATION CLEARANCE
Graduate Studies Date
Representative
Distribution: Committee Chair and Members, Student, Program Director, IRB Office, ORGS, Registrar
DBA
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D ISSERTATION CLEARANCE (University of the Incarnate Word)

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Completed 24 July 2020

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