REQUEST FOR DISSERTATION DEFENSE
*Must be submitted at least two weeks before the defense date.
Name
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First Name
Last Name
Title of Dissertation
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Abstract
Dissertation Chair
*
First Name
Last Name
Committee Member
*
First Name
Last Name
Committee Member
*
First Name
Last Name
Committee Member
*
First Name
Last Name
Date requested for Dissertation Defense
*
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Month
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Day
Year
Date
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Time requested for Dissertation Defense
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I have completed all preliminary requirements for the Doctor of Philosophy (Ph.D.) degree and am now ready to defend my dissertation.
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