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.