Revised 04/2017
DOCTORAL ORAL EXAMINATION FORM
This form must be received by the Doctoral Candidacy Advisor,
420C DuBourg Hall, AT LEAST TWO WEEKS PRIOR TO THE EXAMINATION
STUDENT’S NAME: ______________________________________________________
SLU ID: ____________________________ TELEPHONE:________________________
EMAIL:_________________________________________________________________
DATE OF EXAM: _______________________________________
DAY OF EXAM: ________________________________________
TIME OF EXAM: ________________________________________
CHAIRPERSON OF EXAM COMMITTEE: ____________________________________
COMMITTEE MEMBERS: __________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
OUTSIDE COMMITTEE MEMBER: ___________________________________________
(Only if Required)
Date student passed preliminary written exam: ____________________________________
Major field Program Director/Chairperson: ________________________________________
(Signature)
Dean/Associate Dean/Center Director: ___________________________________________
(Signature)
Date sent to Graduate Education: _______________________________________________
(Entered by Dean/Director)
Saint Louis University
Graduate Education
Do not enter anything below this line. Send completed form to Dean/Director of your college/
school/center, who will sign and forward to the Candidacy Advisor.
_____________________________________________________________________