!
!
'
!
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! '
' ' ' ' ' '
!! ! ! ! !
! ! ! ! ! !!! ! !
! ! ! !
! ! ! ! !
! ! ! ! ! ! ! ! !
! ! ! ! ! ! ! ! ! ! ! !
! ! ! ! !
! !! ! !
! !
!
'
! ! ! ! ! !
!
! ! ! ! ! !
!
! ! ! ! ! !
! ! ! !
!
! ! ! ! ! ! !
! ! ! ! !
'
! ! ! !
! ! ! ! ! ! !!! ! !
!
! ! ! ! ! !!!
!! ! ! !!! ! ! ! ! ! !
! ! ! ! ! ! ! ! ! ! ! ! ! ! !
!
!
!
Petition' to' Continue'f rom 'a' Master’s' Program 'to 'a'
Doctoral' Program
Office of the Registrar / 200 West Kawili St. Hilo, HI 96720-4091! /! Student Services! Center, First Floor Rm E-101! /! Phone: (808) 932-7447! /! Fax: (808) 932-7448! /! E-mail: uhhro@hawaii.edu
PART I: To be' completed by the' student
Name: ____________________________________________
Address: _
_________________________________________
Email: ____________________________________________
Student I
D: ____________________________________
City: _
_____________ State: ____ Zip! Code: ________
Phone! N
umber: ________________________________
Master’s P
rogram:!_____ _ ______________________________ Date of Graduation:!_____________________________
Are you! currently pursuing a doctorate in! another discipline? ____! Yes ____! N o
Do y
ou already hold a Doctorate Degree? ____! Yes ____! N o
I!certify !t
hat !I!h av e !read !a n d !unde rs ta n d !the !p o lic ies !and !in s tr u ct io n s !for !pe titio n ing !to !continu e to a Do cto ral program.
Student Signature: __________________________________________________! Date: ______________________
PART' II:' 'To'be' c ompleted'by ' the'C hair' of' the'G raduate'C om m ittee '
_____ Approved! for (term & year): ________________________________________________________
_____! Not Approved (Reason): ________________________________________________________
Graduate Committee Chair Name: ________________________________________________
Signature: ________________________________________________ Date: _____________
Graduate P
rogram Chair Name: ________________________________________________
Signature: ________________________________________________ Date: _____________
PART
'
III:
'
Submit
'
Completed
'
form
'
to
'
the
'
Graduate
'
Division
'
____! A pproved ____! N ot Approved
Vice Chancellor for Academic Affairs Signature: ______________________________________________! Date: _____________
FOR GRAD DIVISION OFFICE! USE! ONLY: ☐ SPACMNT! ☐ STAR Date: Initials:
Rev. 0
6/2017