CULMINATING EXPERIENCE RESULTS
USE FOR:
THESIS, DISSERTATION, DOCTORAL PROJECT,
PROFESSIONAL/SCHOLARLY PAPER, FINAL EXAM
58
Please type or print clearly in blue or black ink. Effective Fall 2015, students completing a thesis, dissertation, or doctoral project must
submit an iThenticate similarity report printout to this form - http://www.unlv.edu/graduatecollege/ithenticate.
STUDENT INFORMATION
NSHE ID:
First Name:
Last Name:
Department:
Degree Plan:
Rebelmail:
Expected Graduation Term:
FINAL EXAM RESULTS (if applicable)
Date of Final Exam:
Final Exam Result:
Pass
Oral defense results:
Pass
Fail
ORAL DEFENSE RESULTS (if applicable)
Means of Publicizing Oral Defense:
Date of oral defense:
If pass, # of credit hours to grant:
Degree
Option:
Thesis
Dissertation
Doctoral Project
Fail
Professional/Scholarly Paper
Other (specify):
For Doctoral and Thesis Students Only - Effective Fall 2015, students must submit their document to iThenticate and attach the similarity report to this form.
Title:
THESIS / DISSERTATION FORMAT CHECK (This section is only applicable to theses and dissertations)
 This document is formatted according to the guidelines on the UNLV Graduate College website:
http://graduatecollege.unlv.edu/current/thesis/.
 I understand that if the document is not approved, the student will be contacted and will need to make all necessary changes and
resubmit the document for review in a timely manner.
 I understand that once the document has been approved, the student will be contacted and provided with directions regarding final
electronic submission of the document into ProQuest, and that his/her degree cannot be conferred until the format is approved and
the document is submitted properly to ProQuest.
Does the document meet all of the UNLV Graduate College formatting requirements?
Yes
No
Style guide used for formatting (e.g. APA, MLA, Chicago, etc.):
Student Signature - By signing below, I certify all information included on this form is accurate.
STUDENT SIGNATURE
DATE
APPROVAL NAMES & SIGNATURES
ADVISORY COMMITTEE CHAIR – PRINT NAME AND HIGHEST DEGREE(S)*
ADVISORY COMMITTEE CHAIR SIGNATURE
DATE
DEPARTMENT CHAIR/GRADUATE COORDINATOR – PRINT NAME AND HIGHEST DEGREE(S)*
DEPARTMENT CHAIR/GRADUATE COORDINATOR SIGNATURE
DATE
ADVISORY COMMITTEE MEMBER – PRINT NAME AND HIGHEST DEGREE(S)*
ADVISORY COMMITTEE MEMBER SIGNATURE
DATE
ADVISORY COMMITTEE MEMBER – PRINT NAME AND HIGHEST DEGREE(S)*
ADVISORY COMMITTEE MEMBER SIGNATURE
DATE
GRADUATE COLLEGE REPRESENTATIVE – PRINT NAME AND HIGHEST DEGREE(S)*
GRADUATE COLLEGE REPRESENTATIVE SIGNATURE
DATE
ADVISORY COMMITTEE MEMBER – if applicable – PRINT NAME AND HIGHEST DEGREE(S)*
ADVISORY COMMITTEE MEMBER SIGNATURE – if applicable
DATE
ADVISORY COMMITTEE MEMBER – if applicable – PRINT NAME AND HIGHEST DEGREE(S)*
ADVISORY COMMITTEE MEMBER SIGNATURE – if applicable
DATE
**DEAN, ACADEMIC COLLEGE –PRINT NAME AND HIGHEST DEGREE(S)*
*DEAN, ACADEMIC COLLEGE SIGNATURE
DATE
GRADUATE COLLEGE USE ONLY
DEAN, GRADUATE COLLEGE
DATE
*Highest degree will be included after your name on this student’s electronic signature page if the student is submitting a thesis, dissertation, or final doctoral project.
**Please consult the Forms page of the Graduate College website (http://graduatecollege.unlv.edu/forms) to determine if this signature is required for your program.