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PORTLAND STATE UNIVERSITY PLEASE SUBMIT A SINGLE COPY
DOCTORAL
REQUEST FOR ADVANCEMENT TO CANDIDACY
The doctoral program must submit this form to the Graduate School (184 PKM) upon completion of all departmental requirements for
advancement to candidacy, including, but not limited to, the defense and final approval of the dissertation proposal.
Student ________________________________________________________ PSU ID #______________________________
Degree (Ph.D., Ed.D.) ___________ Program ____________________________________ Option _______________________
1. Dissertation Proposal Defense
The dissertation proposal was presented in a formal meeting of the entire dissertation committee on ______________________.
Date
Proposed Dissertation Title: _______________________________________________________________________________
Approved Dissertation Committee:
______________________________________ _____________________________________ _________________
Committee Chair - Printed name Signature Date
______________________________________ _____________________________________ _________________
Member - Printed name Signature Date
______________________________________ _____________________________________ _________________
Member - Printed name Signature Date
______________________________________ _____________________________________ _________________
Member - Printed name Signature Date
______________________________________ _____________________________________ _________________
Member - Printed name Signature Date
______________________________________ _____________________________________ _________________
Member - Printed name Signature Date
The signature of each committee member above indicates approval of the proposal. All appointed committee members must
approve the proposal for the student to be recommended for advancement to candidacy.
2. Request for Advancement to Candidacy
This student has successfully passed the proposal defense and has met all other program requirements for advancement to
candidacy. The doctoral program requests advancement to candidacy effective _____________________________________.
Date
Note: If Human Subjects are involved in the research in any way, the student must obtain HRPP (aka IRB) approval. The
student will not be advanced to candidacy until the Graduate School receives notification of HRPP approval.
This student is recommended for advancement to candidacy:
_______________________________________ ______________________________________ ________________
Doctoral Program Director Printed name Signature Date