1/21 GS This form is available on the Graduate School website GO-17D
DOCTORAL
RECOMMENDATION FOR THE DEGREE
The doctoral program must submit this form to the Graduate School upon completion of all final evaluation procedures. Since the
GO-17 is such a vital document it should always be delivered, not mailed, to GS (184 Parkmill).
Students can never handle their own GO-17 once it has any signatures.
Student _____________________________________________________________ ID # ___________________________
Degree _____________________ Major __________________________________________________________________
Final Dissertation Defense
This student’s dissertation was defended to the appointed committee on _____________________________________________
(date)
_____________________________ _____________________________ _____________ Pass / Fail
Dissertation Chair printed name Signature Date (circle one)
_____________________________ _____________________________ _____________ Pass / Fail
Member printed name Signature Date (circle one)
_____________________________ _____________________________ _____________ Pass / Fail
Member printed name Signature Date (circle one)
_____________________________ _____________________________ _____________ Pass / Fail
Member printed name Signature Date (circle one)
_____________________________ _____________________________ _____________ Pass / Fail
Member printed name Signature Date (circle one)
_____________________________ _____________________________ _____________ Pass / Fail
Memberprinted name Signature Date (circle one)
For dissertation approval, there can be no more than one dissenting vote on the dissertation defense.
Dissertation Grade
To be used for grading 603 Dissertation credits only. All other course numbers must be graded online.
_________ 603 _____________ _________________________________ ________________________________
Dept. No. Grade Dissertation Chair signature Dissertation Chair printed name
The signature verifies that this is the official grade to be posted on the Portland State University transcript.
A minimum of 27 603 credits are required for Ph.D. degrees (18 for Ed.D. degrees),
but all 603 Dissertation credits on the student’s transcript will be changed to this grade.
By signing below, I certify to the Faculty of the University that this candidate
has fulfilled all requirements for the degree.
______________________________________ __________ ______________________________________ __________
Dissertation Chair Date Doctoral Program Director Date
Dean of the Graduate School ___________________________________________________ Date _____________________