Form - Application to Candidacy (ATC)

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Graduate School of Education
Doctor of Education Application to Candidacy
Instructions
The Ed.D. Application to Candidacy is an official description of your academic intentions. It should be
filed after four semesters of full-time enrollment or its equivalent credit hours and program qualifying
requirements. It is to be completed in consultation with your advisor. Primary responsibility for evaluation
of the Application to Candidacy rests with the student’s respective committee; the department is
responsible for insuring that the Application to Candidacy is complete prior to submission to the GSE
Graduate Degree Committee with whom the final decision rests. Please submit the original and one copy
to the department office and keep one copy for your records.
Attach official transcript(s) showing baccalaureate degree conferral and supporting any credits transferred
from other institutions as well as an unofficial UB transcript.
Part I – General Information
Name_____________________________________________ Person Number_______________________
Current Address/Phone___________________________________________________________________
Street
City
State
Zip
Phone
Permanent Address/Phone_________________________________________________________________
Street
Department:
CSEP
ELP
LAI
City
(circle one)
State
Zip
Phone
Program_____________________________
Date of First Registration in Current Degree Program (indicate semester):  Fall_____  Spring ____
Date of Expected Degree Conferral (indicate year): February_______ June_______ September_______
Date of Major Field Examination (or approved option)__________________________________________
Part II – Previous Education (even if degree has not been conferred)
Institution
Major
Attendance
Dates
Degree
Conferred
Conferral
Dates
Part III – Proposed Program of Study
List only courses which are to be applied toward the degree. If additional space is needed to record the
courses, a copy should be made of this page, the courses should be listed on the copy, and the copy should
be inserted following this page. A full descriptive title is necessary. GSE requires a minimum of 72 total
credit hours including a minimum of nine credit hours of dissertation guidance. (Departments may have
their own requirements regarding minimum credit hours.) At least 48 credit hours must be taken at UB; no
more than 12 credits hours of dissertation guidance may be used to meet this requirement. Transfer courses
must carry a grade of “B” or better. An Informal Course Description form must be attached for each
informal course (other than dissertation guidance) for which there is no description in official UB
publications.
Arrange the course according to these four headings: Major Area, Research, Electives, Dissertation.
Provide subtotals of credit hours for each heading and grades for completed courses. Place the letter “M”
before all course work taken as part of your master’s degree program.
Course #
Course Title
TOTAL CREDITS
Credit
Hours
Grade
Semester of
Registration
Institution
Part IV – Dissertation
General Area of Investigation______________________________________________________________
Proposed Title__________________________________________________________________________
Animal/Human Subjects Policy: All research involving human subjects and/or animals must be reviewed
and approved by the appropriate University Review Board prior to initiation of the research. A copy of the
approval or exemption form must be appended to the dissertation.
Part V – Signatures
The information in this program is attested as correct and approved by the following signatories.
Signature
Student
Typed Name
Date
__________________________
____________________ ______________
__________________________
____________________ ______________
Committee Member __________________________
____________________ ______________
Committee Member __________________________
____________________ ______________
Committee
Major Advisor
Department Chair
__________________________
____________________ ______________
Graduate Degrees
Committee Chair
__________________________
____________________ ______________
June 2006
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