Student ___________________________________________________________________________________ Date ___________
Advisor _________________________________________________________________________________ Date ___________
Director of Training ________________________________________________________________________ Date ___________
Dept. Chair _______________________________________________________________________________ Date ___________
Residency Requirement (select one of the following options)
I will take three or four graduate level courses for two consecutive semesters (fall and spring) in the academic year _____.
I will take two graduate level courses and have a full time assistantship for two consecutive semesters (fall and spring) in
the academic year _____.
I will fulfill a minimum of three years of full time doctoral study.
I will take two graduate level courses per semester for the academic year _____ while employed half time or more in a
professional position relevant to the intended area of doctoral study. At least one course must be seminar based, linking
theory, research, and practice in the intended area of doctorate.
Professional Position: _____________________________________________________
Courses: ______________________________________________________________________
I will petition the Associate Dean for an exception to the above options. (You must obtain prior approval for the exception
from your academic advisor.)
Please detail in the space below how the exception fulfills the intent of residency requirement, or attach a statement.
_________________________________________________________________________________________________________________________________________________
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