EASTERN MICHIGAN UNIVERSITY
Graduate School
DOCTORAL DISSERTATION
Document Approval Form
Student Name
Program of Study ID# E
Academic Department/School
College
TITLE OF DISSERTATION
ACKNOWLEDGEMENT OF ORIGINAL WORK
The above titled work has been examined using a plagiarism check service, and meets department,
school, or program standards for originality.
Chair Signature Date
*Note – Another authorized individual, such as a program coordinator or program director, may sign
in lieu of the chair
.
DOCUMENT APPROVAL
COMMITTEE SIGNATURES
name/signature
Chair Date
Members Date
Date
Date
Date
Member representing
the Graduate School_______________________
Date
ACKNOWLEDGEMENT OF COMPLETED DISSERTATION
Date Program Director/Coordinator
Date Dept. Head/School Director/Dean
GRADUATE SCHOOL
DOCUMENT HAS BEEN SUBMITTED AND EDITED DEGREE MAY BE CONFERRED
Date Graduate School
Signed original goes to Record’s student file. Copies/pdf to: Graduate School, chair, and department/college file
Revised 5/31/2018