Revised: 11/17
Student’s Name: UWG ID#:
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.
Assessment Link: https://goo.gl/pGQ1VP
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
Doctor of Education in Professional Counseling & Supervision
Dissertation Defense Result