The Graduate School (406) 994-4145 www.montana.edu/gradschool Revised 4/19/2017
The Graduate School
degreesandcertificates@montana.edu
Graduate Program of Study & Committee
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Date
Student ID #
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Last Name
First Name
Middle Initial
Email
__________________________________
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Department
Degree
Degree Title
Mailing Address:
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Street
City
Zip
Please list all degrees you currently hold (include both undergraduate and graduate degrees):
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Degree
Major
Institution
Date Conferred
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Degree
Major
Institution
Date Conferred
**My signature is an acknowledgement of service on this committee and it certifies that the student’s coursework on this
Program of Study meets the minimum requirements for the degree at Montana State University. **
Graduate Committee Appointment: If the committee includes a co-chair, please indicate on line #2.
1.
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Name (please print) (Chair)
Signature
Date
E-Mail
2.
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Name (please print)
Signature
Date
E-Mail
3.
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Name (please print)
Signature
Date
E-Mail
4.
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Name (please print)
Signature
Date
E-Mail
5.
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Name (please print)
Signature
Date
E-Mail
6.
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Name (Optional Graduate Representative)
Signature
Date
E-Mail
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Department Head Signature Date The Graduate School Date
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Student Signature* Date
Office Use Only:
* Please note: a one-time $50 processing fee will be charged
to your student account upon approval of this form.
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The Graduate School (406) 994-4145 www.montana.edu/gradschool Revised 4/19/2017
Student Name/ID#:
Term of Acceptance into Degree Program:
T
ransfer/Non-Degree/Reserved Credits:
List all courses to be transferred from another institution, taken as a non-degree graduate or
reserved as an undergraduate. A combined total of 9 credits with a grade of B or better may be applied.
Office use
T/N/R Rubric & Course # Course Title Institution Year
Number of credits each term Grade
F
S
Su
Subtotal Graded Transfer Coursework _____
4xx-Level Graded Coursework: List all 4xx-level courses to be completed at MSU after admission to the degree program. Up to 9 credits at
the 4xx-level are allowed on a graduate Program of Study. Prohibited courses include: 494, 492, 498.
Office use
Rubric & Course # Course Title Instructor Year
Number of credits each term
Grade
F
S
Su
Subtotal Graded Coursework _____
5xx and 6xx-Level Graded Coursework: List all 5xx and 6xx-level courses to be completed at MSU after admission to degree program.
The total number of 5xx and 6xx-level course credits must be at least 2/3 of the total coursework, including Research Credits: 590, 690 or 575, 675.
Prohibited courses include: 588 and 589.
Office use
Rubric & Course # Course Title Instructor Year
Number of credits each term
Grade
F
S
Su
Subtotal Graded Coursework _____
Committee Chair’s initials
The Graduate School (406) 994-4145 www.montana.edu/gradschool Revised 4/19/2017
Student
Name/ID#:
Term
of Acceptance into Degree Program:
Exam and Defense Estimated Schedule: Indicate exam and/or defense as required by the department.
Exam / Defense Type Year
Term
Exam / Defense Type Year
Term
F
S
Su
F
S
Su
Master’s Qualifying Exam
Doctoral Qualifying Exam
Master’s Comprehensive Exam Doctoral Written Exam
Master’s Defense of Thesis
Doctoral Oral Exam
Doctoral Defense of Dissertation/Scholarly
Project/Paper
Research Credits:
Professional Paper/Project (575), Master’s Thesis (590), Doctoral Dissertation (690), or Scholarly Paper/Project (675)
Plan A: Thesis or Dissertation Plan B: Professional Paper/Project
Office use
Rubric & Course # Course Title Instructor Year
Number of credits each term
Grade
F
S
Su
Subtotal Research Credits _____
TOTAL CREDIT HOURS
Li
st any courses required by the department that do not count towards degree requirements:
Rubric & Course # Course Title Instructor Year
Number of credits each term
Grade
F
S
Su
Master’s Degree credits to be considered toward the Doctoral Degree: Maximum of 30 credits from the master’s degree may be used.
Office use
Rubric & Course # Course Title Institution Year
Number of credits each
Semester
Grade
F
S
Su
Total Master’s Degree credits to be considered toward the Doctoral Degree _____
Committee Chair’s initials