Thesis or Dissertation Defense
(To be completed and led after the defense)
Date:
Department:
Student ID Number:
Student Name:
College:
Degree:
Advisor:
Thesis/Dissertation Title:
ID Number:
If thesis/dissertation completed successfully, sign below.
Program Director
Signature:
College Dean Signature:
Form must be submitted to the Ofce of Admissions, Records and Registration after electronic signatures are completed.
Please ensure any relevant additional documentation is attached to the generated email.
Signatures of Committee Members:
Chair:
Member:
Member:
Member:
Member:
Member:
Member:
Member:
The above-named candidate has been examined by the committee with the following results:
The above-named candidate has successfully completed the nal version of the thesis or dissertation:
Passed:
Passed:
Failed:
Failed:
12/16
SUBMIT
SUBMIT
SUBMIT
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit