Dissertation Signatures Title Page
Please complete and return 3 original signed copies of this form to the graduate programs office in 219
Maloney Hall. For questions, please call 617-552-4928 or fax 617-552-2121
The Dissertation of: ____________________________________________________
(Student’s Name)
Title: ____________________________________________________________
____________________________________________________________
____________________________________________________________
Is submitted in partial fulfillment of the requirements for the Doctor of Philosophy
(PhD) degree in the Graduate Program of the William F. Connell School of Nursing,
and approved by the Committee:
_________________________________ __________________________________
Chairperson’s Signature
Chairperson’s Name
_________________________________ __________________________________
Member’s Signature
Member’s Name
_________________________________ __________________________________
Member’s Signature
Member’s Name
_________________________________ __________________________________
Member’s Signature
Member’s Name
_________________________________ __________________________________
Member’s Signature
Member’s Name
________ /________ / ________
Date
BOSTON
COLLEGE
Rev_June_2015
WILLIAM F. CONNELL
SCHOOL OF NURSING