DISSERTATION APPROVAL FORM
DOCTOR OF EDUCATION
UNIVERSITY OF NORTHERN IOWA
1. Student Name
2. Student Number ______________ 3. Anticipated Graduation Date
4. Dissertation Title
5. Dissertation Committee Approval (type committee members’ names below their signature line)
Date
Chair:
Date
Co-Chair, if applicable:
Committee member:
Date
Committee member:
Date
Committee member:
Date
Committee member:
Date
6. Department Head,
Intensive Study Area _____________________________ Date
7. Indicates one copy of the dissertation will be submitted to the Dean of the College of Education upon approval of the Graduate College Dean.
Dean, College of Education Date
8. Final copies of the dissertation and all other required materials submitted to, and approved by the Graduate College.
Graduate Dean ___________________________________ Date
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Photocopies of this completed form to be sent by the Graduate College to the student, the student’s departmental office, the College of Education Dean's Office, and the Registrar’s Office.
7/2012