Last update May 2012

All illustrations - Rene Magritte
1997 Charly Herscovici, Brussels / Artists Rights Society (ARS), New York

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REQUEST FOR FINAL ORAL EXAMINATION

This form must be submitted to the Office of the Executive Dean of Graduate Studies two weeks prior to date of examination. It must be accompanied by one copy of the dissertation.

THIS IS TO REPORT THAT THE SUPERVISING COMMITTEE FOR

(Name of Doctoral Candidate)

has received the doctoral dissertation for the purpose of examination and now requests that the final oral examination be set for:

(Month)
(Day)
(Year)
(Time)
(Place)

By his/her signature below each member of the Supervisory Committee agrees that he/she considers the dissertation and dissertation abstract to be in satisfactory form for the purpose of final examination, that he/she is agreeable to proceeding with the final examination, and that he/she is willing to attend this examination on the date specified.

APPROVED:
 
Chairperson, Supervising Committee
 
 
Print Name
Signature
 
 
 
 
 
 
APPROVED:
Dean of Graduate Studies

cc: 1. Supervising Committee 2. Doctoral Candidate