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Doctor of Education in School Improvement
Dissertation Defense Results Form
Student Name: UWG ID Number:
Dissertation Chair Name:
Committee Member Name:
Committee Member Name:
Dissertation Title:
The committee for the above named student conducted a final oral defense of the doctoral dissertation
on (date) and, has determined that the student’s performance be
considered as follows:
Passed. The committee recommends that the doctoral degree be awarded upon submission of
the dissertation in acceptable final format.
Passed with revisions. The committee recommends that the doctoral degree be awarded upon
the completion of the recommended revisions to the dissertation and in acceptable final format.
Not Passed. The committee recommends that the student, following consultation and with the
consent of his/her advisor, be allowed to repeat the final oral defense.
By signing this form, all members affirm the study is original work completed by the student; all
UWG Formatting Guidelines will be followed before submitting to ProQuest; and the dissertation
defense assessment is completed by the chair.
Dissertation Chair: Member:
Member: Member:
Student’s Signature: Date:
Received: Date:
Ed.D. Director
Revised 3/19
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