Graduation Date (month/year) Student ID
School or College
Program Clearance (Dissertation Approval)
PROGRAM DIRECTOR: Please sign and date to confirm completion of all program requirements except for those listed in
Program Director Date
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
Distribution: Committee Chair and Members, Student, Program Director, IRB Office, ORGS, Registrar