ARKANSAS TECH UNIVERSITY
DISSERTATION DEFENSE FINAL REPORT
This form should be completed and filed with the Graduate College after the dissertation final
defense is completed.
STUDENT NAME: _______________________________________________ T NUMBER: _____________________________
EMAIL ADDRESS: ________________________________________________________ PHONE: ________________________
DISSERTATION TITLE:
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
DATE OF FINAL DEFENSE: _________________________________________________________________________________
DISSERTATION FINAL DEFENSE: PASSED FAILED
SIGNATURES OF DISSERTATION COMMITTEE MEMBERS:
________________________________ ________________________________ _______________ PASSED FAILED
CHAIR NAME (PRINT) SIGNATURE DATE
________________________________ ________________________________ _______________ PASSED FAILED
COMMITTEE MEMBER (PRINT) SIGNATURE DATE
________________________________ ________________________________ _______________ PASSED FAILED
COMMITTEE MEMBER (PRINT) SIGNATURE DATE
________________________________ ________________________________ _______________ PASSED FAILED
COMMITTEE MEMBER (PRINT) SIGNATURE DATE
________________________________ ________________________________ _______________ PASSED FAILED
COMMITTEE MEMBER (PRINT) SIGNATURE DATE
SIGNATURES OF APPROVAL:
_____________________________________________________________________________________ ___________________________
Program Director Date
_____________________________________________________________________________________ ___________________________
Dean of the Graduate College Date