1/21 GS This form is available on the Graduate School website
PORTLAND STATE UNIVERSITY PLEASE SUBMIT A SINGLE COPY
DOCTORAL
DISSERTATION SIGNATURE PAGE
Student _____________________________________________________________ PSU ID # ____________________
Degree _________________________ Major ______________________________________________
Date of dissertation defense _______________________________
The dissertation committee and doctoral program approve the final, post-defense version of
this student’s doctoral dissertation.
Dissertation Chair
Committee Members
Doctoral Program Approval
By signing this form, I confirm that the dissertation I submit to the Graduate School is the final, post-defense
copy of my dissertation that has been approved by my committee. I understand that submitting an alternate
version of my dissertation to the Graduate School may be a violation of the PSU Student Code of Conduct
and may result in sanctions up to and including revocation of the degree.