Revised
REQUEST TO CONDUCT THE ORAL THESIS/DISSERTATION DEFENSE
Only fully completed forms will be processed
* A
draft manuscript must be submitted to the Graduate College with this request form
Name
Student ID # E-mail address
( )
Current address (street, city, state and zip code) or primary
Telephone number
M.B.A. M.A. M.S. M.T. D.P.T. Ph.D.
Major (and concentration, if any)
Degree
Check one: Thesis Dissertation
Thesis/Dissertation title
I request that the Hampton University Graduate College authorize the Chair of my advisory committee to conduct the formal oral
defense of my thesis/dissertation on the following day :
Day , Date
Time
Building and Room
I understand that the final product of my thesis/dissertation copies (requested number, plus two; plus three if Nursing) are due to
the Graduate College within 7 days of the above stated date. In addition, the date I am submitting this form is at least two weeks
prior to the requested defense date.
Student Signature
Date
I have reviewed a draft of the manuscript of the above-named student and find it to be satisfactory fo
r the purposes of the oral
presentation. I understand the student will have 7 days after the oral defense to make any corrections suggested by the advisory
committee and submit the thesis/dissertation (5 copies) in final form to the Graduate College.
Committee Chair Signature
Date
____________________________________________________________________________
Program Coordinator’s Signature Date Approved D
enied
A
pproved
D
enied
Department Chair’s Signature
Academic Dean’s Signature
Approved
Denied
FOR OFFICE USE ONLY
Approved Denied
D
ean
, Graduate College Signature Date
Revised 9/2020
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