Fillable Do-dissertation-defense-request Dissertation Defense Schedule Request

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Do-dissertation-defense-request Dissertation Defense Schedule Request

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______________________________________________ ______________________________________________
______________________________________________ ______________________________________________
______________________________________________ ______________________________________________
REQUEST TO SCHEDULE
DISSERTATION DEFENSE
Please complete the form on-line and then print for signatures. Handwritten documents will be returned.
Student Name: ______________________________________ Student ID No. ________________________
TO: Associate Dean, Graduate Studies
I hereby request that your office schedule my Dissertation Defense as follows:
DATE:
TIME:
PLACE:
DISSERTATION TITLE:
ABSTRACT: Please attach copy to the request form
My advisory committee members concur in this request and so indicate by their signatures below:
Advisory Committee Chair Date Committee Member Date
Committee Member Date Committee Member Date
Committee Member Date Committee Member Date
APPROVAL: _________________________________________________________________________
Robert J. Wilkens, Ph.D., Associate Dean for Research & Innovation, Professor Date
Original – Graduate Engineering; Copies: Student, Academic Department 9/26/18
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Do-dissertation-defense-request Dissertation Defense Schedule Request

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Completed 15 February 2020

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