Results of Dissertation Defense
____________________________________________ ____________________________
Student’s Name Ph.D. Degree Program
____________________________________________ ____________________________
Student’s ID Number Student’s Advisor (signature and date)
Advisor’s Home Department/Program: ________________________
Date of Defense: ______________________________________
Passed: Conditional Pass: Failed:
Conditional Pass Justification (Attached):
Date of Conditional Defense: ________________________
Passed: Failed:
Date of Final Outcome: _________________________________
(could be the same Date of Exam)
The undersigned committee members stipulate that the candidate has successfully completed the
dissertation defense and fulfilled that specific requirement for the Ph.D. degree in Materials
Science.
Advisor/Committee Chair: ________________________________ __________________
(signature) (date)
Committee Member: _____________________________________ __________________
(signature) (date)
Committee Member: _____________________________________ __________________
(signature) (date)
Committee Member: _____________________________________ __________________
(signature) (date)
Committee Member: _____________________________________ __________________
(signature) (date)
Montana Tech Campus Director: ___________________________ __________________
(signature) (date)
Dean of Graduate School: _____________________________________ __________________
(signature) (date)
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