EXCEPTIONAL LEARNINGMA to PHD
PROPOSED PROGRAM OF STUDY
T. No.
Name
Last
First
Middle
PhD Major EDU -
COURSES*
TRANSFER CREDIT
INFORMATION
Date
Completed
or To Be
Completed
Title
Course
Number
Credit Grade
Transfer From**
Equiv. TTU
Course No.
C&I Masters Concentration:
Minimum Credit Hours toward the MA Degree (33)
Total
33
PhD General Core (13 credit hours)
Concentration (12 credit hours)
Guided Electives (6 credit hours)
Dissertation Research (15 credit hours)
Do you anticipate using Human Subjects in your research?
YES NO
MS Final GPA:
PhD Final GPA:
If yes, IRB approval is required one semester prior to graduation. Contact your advisor for more information.
Total Semester Credit Hours Counted Toward PhD Degree
46
1.
Courses taken at the Masters level
2.
Primary Area PhD courses
3.
Related Area PhD courses
4.
Research & Dissertation PhD Courses
**Enter name of university where courses were taken
Total Hours MA: 5000 level
6000 level
7000 level
Total Hours PhD: 6000 level 7000 level
MA- 6 years expires end of
(ye
ar)
PhD-8 years expires end of
(term) (year)
APPROVED ADVISORY COMMITTEE:
Chairperson
Date
Departmental Chairperson
Date
Member
Date
Member
Date
Associate Dean/Director of Doctoral Programs
Date
Member
Date
College of Graduate Studies Designee
Date
_______________________________ Member ___________ Date
(term)
HANDWRITTEN FORMS WILL NOT BE ACCEPTED
Appointment of Advisory Committee
I hereby request that the following members of the Graduate Faculty be appointed to ser
ve on my Graduate Advisory
Committee:
Nam
e (please type in committee names)
________________________________________________________________
Chairperson
________________________________________________________________
Member
________________________________________________________________
Member
________________________________________________________________
Member
________________________________________________________________
Member
________________________________________________________________
Member
________________________________________________________________
Member
Student’s Signature _______________________________________________________ Date ________________________
Student T No. ____________________________________________________
Approved ____________________________________________________________________________________________
Departmental Chairperson date
Approved ____________________________________________________________________________________________
Associate Dean/Director for Doctoral Programs date
Approved ____________________________________________________________________________________________
College of Graduate Studies Des
ignee date