Submit form to Director of Graduate Studies, College of Education
 
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DOCTORAL RESIDENCY PLAN

College of Education

 

Student Name:

Soc. Sec. Num.: - -

Approvals:

___________________________

Doctoral Candidate

Date

___________________________

Chair of Committee

Date

___________________________

Department

Date

___________________________

Director, Grad. Studies

Date

 

Address:

City:

Date:

State:

Zip Code:

Phone: (H) () - (W) () -

 
 
GENERAL INFORMATION
 

Undergraduate Degree:

Institution:

Date
Conferred:

Undergraduate
Major:

Minor:

Graduate Degree:

Institution:

Date
Conferred:

Graduate
Major:

Minor:
Doctoral
Major:

Concentration:

Collateral Area:

Date admitted to doctoral program:
 
 
RESIDENCY INFORMATION - Click HERE for description of Residency Plan Options.

Residency Plan Course Enrollment Option (Select A, B, or C):

Period of intended residency: from to

List each semester to be included:

Proposed
dates
for:

Completion of Course Work:

Completion of Dissertation:

Final Comprehensive Exam: