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NOTIFICATION OF APPROVED DISSERTATION PROPOSAL
OFFICE OF GRADUATE STUDENT SERVICES, ROOM 418 WHITE HALL
The Ph.D. candidate in the College and Graduate School of Education, Health, and Human Services will file
this form, along with a copy of the proposal, in the Office of Graduate Student Services, Room 418 White Hall,
Kent, OH 44242-0001. Signatures are required where /s/ shown.
NOTE: A copy of the dissertation proposal must accompany this form.
Name
Date
Local Address
ID #
City
State
Zip
Phone
Email Address _______________________________________________
Major Program Area
Emphasis
Title of Proposed Dissertation
____________________________________________________________________________________
MEMBERS OF THE DISSERTATION PHASE COMMITTEE:
Typed
/s/
Dissertation Director, Co-Director
Typed
/s/
Member, Co-Director
Typed
/s/
Outside Member
Typed
/s/
Optional Member
Typed
/s/
Optional Member
Approved
/s/
/s/
Program Coordinator
School Director
/s/
Associate Dean for Administrative Affairs and
Graduate Education
INSTITUTION RESEARCH BUREAU (IRB) APPROVAL FOR HUMAN SUBJECT RESEARCH
Once the dissertation proposal has been defended successfully, the student in consultation with the
dissertation advisor must submit an application to the IRB for approval to conduct research with
human subjects.
Notice of IRB approval must be filed in 418 White Hall by forwarding the email notification of approval
from IRB to Nancy Miller at nmiller1@kent.edu.
Notification of Approved Dissertation Proposal.doc 10/13
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