Public Policy PhD Degree Application Form Please type or print clearly Student Identification Number:_________________ Name to appear on diploma (must be the same as on file in the Registrar’s Office): ________________________________________________________________________ Note: Diploma will be mailed to the address on file in WISER Anticipated degree date: May 20____ December 20____ ***Please be sure to return this form to the Public Policy Program office (M-3-426) with a check for $180.00 payable to UMass Boston to cover the commencement fee. Part I List only graduate courses to be counted toward the PhD degree at UMass Boston. Please complete all boxes by writing the semester, credits and grade for all courses. If you received a waiver, please only place a ‘W’ in the last column. If you transferred a course into the Program, please include them as well. Course Name & No. PPOLG 601 Political Economy I PPOLG 602 Political Economy II PPOLG 604 Statistics I PPOLG 605 Statistics II PPOLG 611 Foundations of PP Analysis I PPOLG 612 Foundations of PP Analysis II PPOLG 621 Economics I PPOLG 622 Economics II PPOLG 630 Research Methods I PPOLG 704 Research Methods II PPOLG 740 Political Institutions PPOLG 780 Practicum I PPOLG 781 Practicum II PPOLG 891Dissertation Seminar PPOLG 899 Dissertation Sem/Yr fall spring fall spring fall spring fall spring fall spring Credit 03 03 03 03 03 03 03 03 03 03 03 03 03 03 Grade Received Credit Grade Received ELECTIVES Course Name & No. Sem/Yr Please check here if you received advanced standing (12 elective credits waived). TRANSFER CREDIT: ON AND OFF CAMPUS INSTITUTION COURSE TITLE SEM/YR TAKEN CREDIT For courses taken at another institution an official transcript must be on file before transfer credit will be granted. To the best of my knowledge the information given above is correct and complete. Signature of candidate: ______________________________________________________________ Date: ____________________________________________________________________________ Part II: To be completed by the Graduate Program Director A. Passed Comprehensive Exams DATE: ___________________________ B. Passed PhD Oral Exam/Dissertation Defense DATE: ___________________________ C. Dissertation committee members ____________________________________ ____________________________________ ____________________________________ ____________________________________ Dissertation and binding fee must be submitted to the Office of Graduate Studies. D. Graduate Program Director’s Approval I recommend that ___________________________ be awarded the PhD degree in Public Policy. This degree will be effective as of May 20______August 20______December _____. The information furnished by the above named candidate has been verified from my program’s records contingent upon: (check if applicable). Current semester grade(s) Dissertation Defense Dissertation Binding Comments: ________________________________________________________________________ ________________________________________________________________________ GPD signature: ________________________________________ Date: ________________________________________________ Make a copy of this document for your files. This completed form with the required signatures and the $180.00 commencement fee is due on the date posted at www.registrar.umb.edu/audits.html.