College of Education
Department of Educational Psychology
INTENT TO COMPLETE PRELIMINARY/COMPREHENSIVE EXAMINATIONS
I (Insert Name) plan to take the Choose an item. examination in the (Insert Semester & Year).
I will have completed the necessary preparation for the exam. Thank you for your consideration of this
request.
________________________________
(Student’s signature)
_______________
(Date)
________________________________
(Advisor’s signature)
_______________
(Date)
Contact Information:
Phone:
(Include Area Code)
Message Phone (if different):
(Include Area Code)
Current Email:
Current Mailing Address:
Note: This signed form should be turned in to the Educational Psychology Department Office at least
three (3) weeks prior to the scheduled date of the examination.