EAST TENNESSEE STATE UNIVERSITY
SCHOOL OF GRADUATE STUDIES
Application for Candidacy for Degree of
Doctor of Philosophy
Student Name (Type or print) E#
I,
, hereby apply for
admission to candidacy for the Degree of Ph.D. in Nursing at East Tennessee State University. To the best of my
knowledge, I have completed all the graduate and undergraduate prerequisites for admission to candidacy. The degree
of Bachelor of Sceince in Nursing
-For Graduate School Office Use Only-
Program checked against catalog requirements
Date
Graduate Grade Point Average
Approved by:
Approved by:
Graduate Analyst
Dean, School of Graduate Studies
Date
Date
was received from
located in
on
Nursing
located in
was received from
on
. . My transcripts of undergraduate and graduate credits are on file with the Dean of the School of Graduate
Studies. The proposed title for my doctoral dissertation is
(if applicable)
(if applicable)
Signature of Advisory Committee Chair or Graduate Coordinator
Signature of Applicant
The attached program of study has been planned with the guidance of the chair of my advisory committee or with the graduate
coordinator in my program. In addition, I have met all the conditions of my admission.
Date
Date
My graduate major is Nursing. The Cognate is
. The degree of Master of Science in
(if applicable)
