Fillable DISSERTATION COMPLETION FELLOWSHIPS APPLICATION COVER PAGE 2020-2021 (Northern Illinois University)

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DISSERTATION COMPLETION FELLOWSHIPS APPLICATION COVER PAGE 2020-2021 (Northern Illinois University)

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20-21
DISSERTATION COMPLETION FELLOWSHIPS
APPLICATION COVER PAGE – 2020-2021
_____ Full-time _____ Part-time
Student: ______________________________________ EMPLID: _____________________
Address: _____________________________________________________________________________
Department: __________________________________ Cumulative GPA ___________
Name of Ph.D. or Ed.D. Program (as in Graduate Catalog):
_____________________________________________________________________________________
Title of Dissertation:
____________________________________________________________________________________
____________________________________________________________________________________
Month and Year Completed
Doctoral-Degree Requirement or Expected to be Completed
Formal Course Work Completed (except 699 and seminar) ________________________
Foreign Language/Research Tool (if required) ________________________
Doctoral Candidacy Examination ________________________
Approval of Dissertation Director ________________________
Approval of Dissertation Proposal ________________________
Research Compliance Committee Review (if required) ________________________
Completion of Dissertation Research ________________________
Defense of Dissertation ________________________
Internship (if required) ________________________
Anticipated Graduation ________________________
________________________________ ________________________
Applicant Signature Date
_________________________________ ________________________
Dissertation Director Signature Date
_________________________________ (_____of______) ____________
Dept. Chair/Designee Signature Proposal Rank in Dept. Date
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DISSERTATION COMPLETION FELLOWSHIPS APPLICATION COVER PAGE 2020-2021 (Northern Illinois University)

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Completed 29 November 2020

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