GS Dissertation Defense and Seminar Registration

Student Checklist

Registration form (Due 4 weeks prior to defense)
Dissertation Preparation and Deposit Instructions
Return Voting form after Defense to Office of the Registrar (Ann 12-80)
Exit Survey (Exit interview with Dr. Hanss)
Survey of Earned Doctorates form (print out completion page)
Student Checkout Form (clearance from all departments)
Complete Deposit of Dissertation – see above Instructions

GS Dissertation Defense & Seminar Registration

Complete this form at least 4 weeks prior to Defense

We reserve the right to cancel the Defense if not given the appropriate notification

Student Name (As it appears in the Graduate School records and will appear on the Diploma)*

First Name

Last Name

Student Email

Degree

MTA

Dissertation Advisor Name*

First Name

Last Name

Dissertation Advisor Email*

Dissertation Advisor Name (2)

First Name

Last Name

Dissertation Advisor Email (2)

Dissertation Advisor Name (3)

First Name

Last Name

Dissertation Advisor Email (3)

MTA Co-Director

MTA Co-Director Name*

First Name

Last Name

MTA Co-Director Email*

Seminar Information (Public)

Seminar Date / Time*

Room

Enter in person location, include: Building, Floor and Room Number

Zoom Location*

Please include your Zoom meeting url here

Defense Information (Private)

Defense Date / Time*

Location*

Defense Title (as accepted)*

Please upload an image for your Dissertation Defense announcement*

No File Chosen

File uploads may not work on some mobile devices.

(File Upload) Please provide a list (full citation) of all papers published, in-press, or submitted. If you do not have a first authored paper in these categories, please indicate publication plans explicitly below:

No File Chosen

File uploads may not work on some mobile devices.

(Text Submission) Please provide a list (full citation) of all papers published, in-press, or submitted. If you do not have a first authored paper in these categories, please indicate publication plans explicitly below:

Dissertation Defense Committee

Committee Chair*

First Name

Last Name

Committee Chair Email*

Committee Member Name 1

First Name

Last Name

Committee Member Email 1

Committee Member Name 2

First Name

Last Name

Committee Member Email 2

Committee Member Name 3

First Name

Last Name

Committee Member Email 3

Committee Member Name 4

First Name

Last Name

Committee Member Email 4

Outside Reviewer Name

First Name

Last Name

Outside Reviewer Email

Outside Reviewer Address

Address Line 1

Address Line 2

City

State

ZIP Code

Dissertation Advisor Approval

I certify that no member of the Defense Committee has been a collaborator on the student’s project*

I certify

Dissertation Advisor Signature

[clear]

Use your mouse or finger to draw your signature above

Committee Chair Approval

[clear]

Use your mouse or finger to draw your signature above