Ed.D. Program Office
WPH 802, University of Southern California
Los Angeles, CA 90089-4038
Phone: (213) 740-9323
Fax: (213) 821-1281
University of Southern California
School of Education
Report on Ed.D. Qualifying Examination
NOTE: THE COMPLETED FORM IS NOT TO BE GIVEN TO THE STUDENT
Student Name:
ID#
Qualifying Examination Result (Chair completes this section)
 Dissertation proposal is accepted and student is recommended for admission to candidacy.
 Dissertation proposal is not accepted and student is not recommended for admission to candidacy.
______________________________________________________________________ _____________________
Chair Name and Signature:
Date
Dissertation Proposal Defense (Advisement Committee completes this section)
 Approved
Oral defense of proposal is successful by unanimous decision.
 Not Approved
Oral defense of the proposal is not successful.
Advisement Committee Printed Names
Signatures
Date Signed
__________________________________
Name of Chair
_________________________________
Signature
__________
__________________________________
Name of Member #2
_________________________________
Signature
__________
__________________________________ _________________________________
Name of Member #3 (possibly outside member)
Signature
__________
Approval to Register in EDUC 794a or 794a/b (Chair completes this section)
 Approved
The student has successfully passed the qualifying exam and has my permission to enroll in 794 as requested.
 EDUC 794a only for this semester. EDUC 794b to be taken in a subsequent semester.
 EDUC 794a/b concurrently for this semester in order to defend completed dissertation by end of this semester.
______________________________________________________________________ _____________________
Chair:
Date
Ed.D. Office Use
DOC entered in SIS:____
D-Clearance for EDUC 794 entered in SIS ____
Degree Check Requested on GRAD.INFO____
Dean’s Letter Sent _____
Committee confirmed in SIS ____