Fillable PhD Degree Application

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PhD Degree Application

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The PhD Degree Application form is 2 pages long and contains:

  • 0 signatures
  • 11 check-boxes
  • 145 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Montana Tech

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Name: (Print name as you want it to appear on diploma)
Permanent Address for Diploma Mailing:
Address:
City:
State:
Telephone:
E-Mail:
DO YOU PLAN TO ATTEND THE CEREMONY?
Yes
No
Home Town to be Listed on Commencement Program:
NOTE: If no Home Town is listed, the Program listing will default to Butte.
PhD in:
Catalog in effect for graduation requirements:
Note: A student can choose to complete the degree requirements in the catalog under which the student was admitted or any
subsequent catalog published while the student is enrolled. Student must complete those requirements within 6 years from the
date of the chosen catalog.
Which semester will requirements be completed?
Summer
Fall
Spring
To participate in the Commencement Ceremony, a successful defense or final oral examination must be completed no later than 8 days
prior to Commencement. If all degree requirements are not completed by semester indicated above, an Application for PhD Degree
Update must be submitted to the Graduate Office. See Catalog for enrollment requirements.
— Indicate coursework for PhD requirements by completing back of form —
Signatures for Approval as Applicable
Student:
Date:
Advisor:
Date:
Program Director:
Date:
Business Office: ($79 fee required)
Date:
Submit to Graduate Studies Office for Course Audit
Administrator, Graduate School:
Date:
Dean, Graduate Studies :
Date:
--Please complete other side of form--
Coded by Graduate Studies Office:
Graduation Term:
Application for PhD
Due End of Semester Prior to Graduation Term
Due end of semester prior to Graduation Term
1. Deficiency courses:
Course #
Not CRN
Course Title
Credits
Term
Taken
2. Transfer Credits:
Course #
Not CRN
Course Title
Credits
Term
Taken
3. Graduate program courses taken/required:
Course #
Not CRN
Course Title
Credits
Term
Taken
GPA (Calculated by Graduate Office): ______________
Graduate Office Use Only
Final Review Approved:
Date:
# of Major Credits
4000
5000
Seminar
Dissertation
Total
½ at 5000 Level
Yes
No
Core Requirements
Met
Not Met
Not Required
Minor Requirements
Met
Not Met
Not Required
Rev 2-2018
4. Seminar courses taken/required:
Course #
Not CRN
Course Title
Credits
Term
Taken
5. Dissertation Research courses taken/required:
Course #
Not CRN
Course Title
Credits
Term
Taken
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PhD Degree Application

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Completed 3 December 2019

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