The Graduate School - DOC 3 by q2ENdC71

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									                           The Graduate School
                   Southern University And A&M College
                         Baton Rouge, Louisiana

                       Request for Dissertation Defense

The Dissertation Committee of _________________________________, SS# ______________________.
                                               (Name of Student)

Requests approval of ___________________ as the date for the dissertation defense of the above-
                            (Date/Month/Year)

named student for the doctoral degree in ___________________________________________________.
                                                                                  (Major)

The Defense will be held in Room__________. Building ___________________________ at

_________________ a.m./p.m.
          (Time)
                                               Committee:

________________________________________                         _________________________________________
Name:                             Date                           Name                                Date
CHAIR, Dissertation Committee                                    Member, Dissertation Committee


________________________________________                         _________________________________________
Name:                             Date                           Name                                Date
Member, Dissertation Committee                                   Member, Dissertation Committee

                                     Title of Dissertation:

__________________________________________________________________________________________

__________________________________________________________________________________________

                   APPROVED:
                                        _________________________________________________
                                        Name:                                  Date
                                        Department Chairperson/Program Chairperson

                                        _____________________________________________________
                                        Name:                                         Date
                                        Dean of the College/School

                                        _____________________________________________________
                                        Name:                                         Date
                                        Dean of the Graduate School

*Please submit one copy to the Graduate School and one copy to each Committee Member.
Ph.D. 5                                                                                     Revised January 2002

								
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