LSU | Graduate School
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Updated 2/2019
Request for Final Doctoral Defense
This form must be submitted to The Graduate School three weeks prior to the defense date or by current
semester deadline for graduation.
Email submission to gradsvcs@lsu.edu.
Previously Scheduled?
Minor
Student Information:
LSU Student ID:
Name:
Department:
Major:
Dissertation Title:
Note: If the title changes after the defense, please ensure the Doctoral Approval Sheet reflects the new title.
Committee Information:
Doctoral committees must include a total of 3 members plus the Dean’s Representative: two full members of the graduate faculty,
including one from the major department. If a minor is declared, the minor department must be represented. If you are including a
member of Southern University’s graduate faculty, indicate the institution with (SU) after the name. Please remember to include the
Dean’s Representative.
Committee Members (Print Names Below):
Committee Chair:
Co-Chair
(if applicable):
Dean’s Representative:
Minor Professor:
Member:
Member:
Member:
Required Signatures:
Committee Chair: Date:
Chair, Head of Department, or
Graduate Advisor: Date:
Dean of the Graduate School: Date:
For Office Use Only:
GPA: CW:
TIME: REG: COM:
Defense Date:
Time & Place:
:
MINOR:
