THESIS/DISSERTATION SUBMISSION FORM You must submit
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THESIS/DISSERTATION SUBMISSION FORM You must submit both of these forms before your document will be reviewed. Student ID Number: ______________________________________ Student Name of Record (as it appears in DuckWeb): ____________________________ __________________________________ _____________ Before submitting this form, you must have uploaded your thesis/dissertation to the UMI ETD site. Date uploaded: ___________________________ Please specify the style manual or journal you used to format your in-text reference citations, endnotes, or footnotes, and References Cited section: ________________________________________________________________________________________ Note: If you used anything other than APA, ACS, MLA, Chicago, or Turabian, you must provide a copy of the citation/reference instructions from the manual/journal OR an article reprint from the selected journal. Does your document include co-authored and/or previously published material? Yes No Is any part of the body of your document formatted in the style of a journal? Yes No If yes to either of these questions, did you submit a Content & Style Request form? Yes No Where can you be contacted during the next two weeks? Phone: __________________________ Email: ______________________________________________ Address: ______________________________ __________________________ _______ _____________ If you will not be available during the next two weeks after submitting your document, please provide the name of the secondary contact person who will make your corrections: Name: __________________________________________ Phone: _________________________________ Email: ___________________________________________________________________________________ Address: ______________________________ __________________________ _______ ____________ What is your permanent mailing address? Phone: __________________________ Email: ____________________________________________ Address: ______________________________ __________________________ _______ ____________ Student Signature: ______________________________________________ Date: ________________ Last (Family) Name First Name Middle Initial Street City State Zip Street City State Zip Street City State Zip The Style Manual and completion procedures for graduate degrees are available online at: http://gradschool.uoregon.edu/?page=thesisDissertationResources [OFFICE USE ONLY] NAME: _______________________________________ ____________________________________ _____ ________________ _______________ Last First M.I. Major Date Degree Expected DATE SUBMITTED: __________________________ CALLBACK DATE: __________________________ CORRECTIONS DUE: ________________________ DATE STUDENT OR REPRESENTATIVE NOTIFIED: ____________________________________ CORRECTIONS RECEIVED: ______________________ Page 1 of 2 University of Oregon Graduate School
Transcript of THESIS/DISSERTATION SUBMISSION FORM You must submit
THESIS/DISSERTATION SUBMISSION FORM
You must submit both of these forms before your document will be reviewed.
Student ID Number: ______________________________________
Student Name of Record (as it appears in DuckWeb):
____________________________ __________________________________ _____________
Before submitting this form, you must have uploaded your thesis/dissertation to the UMI ETD site.
Date uploaded: ___________________________
Please specify the style manual or journal you used to format your in-text reference citations, endnotes, or footnotes, and References Cited section:
________________________________________________________________________________________
Note: If you used anything other than APA, ACS, MLA, Chicago, or Turabian, you must provide a copy of the citation/reference instructions from the manual/journal OR an article reprint from the selected journal.
Does your document include co-authored and/or previously published material? Yes No Is any part of the body of your document formatted in the style of a journal? Yes No If yes to either of these questions, did you submit a Content & Style Request form? Yes No
Where can you be contacted during the next two weeks?
Phone: __________________________ Email: ______________________________________________
Address: ______________________________ __________________________ _______ _____________
If you will not be available during the next two weeks after submitting your document, please provide the name of the secondary contact person who will make your corrections:
Name: __________________________________________ Phone: _________________________________
Email: ___________________________________________________________________________________
Address: ______________________________ __________________________ _______ ____________
What is your permanent mailing address?
Phone: __________________________ Email: ____________________________________________
Address: ______________________________ __________________________ _______ ____________
Student Signature: ______________________________________________ Date: ________________
Last (Family) Name First Name Middle Initial
Street City State Zip
Street City State Zip
Street City State Zip
The Style Manual and completion procedures for graduate degrees are available online at: http://gradschool.uoregon.edu/?page=thesisDissertationResources
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University of Oregon Graduate School
THESIS/DISSERTATION DOCUMENT APPROVAL
This form serves as official certification that the electronic thesis or dissertation uploaded is the final version approved by the committee listedbelow. Please submit this form along with your Thesis/Dissertation Submission Form, after uploading your document to the UMI ETD Site.
Ph.D. D.Ed. D.M.A. Master of__________________________________________
Student ID Number: ______________________________________ Term/year of graduation: __________________
Student Name of Record (as it appears in DuckWeb):
____________________________________ ______________________________________ __________________
Major (as listed in DuckWeb)
Title of Thesis or Dissertation (as listed on Abstract):
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Committee Membership:
__________________________________________________ __________________________________________________
__________________________________________________ __________________________________________________
__________________________________________________ __________________________________________________
Signatures : I have accepted and approved the final version of this thesis or dissertation on behalf of the committee.
Chair (or co-chair): ________________________________ _______________________________________ ______________
Co-Chair (if applicable): ____________________________ _______________________________________ ______________
Advisor (if applicable): ____________________________ _______________________________________ ______________
STUDENT: I certify that the thesis or dissertation that I have submitted to the Graduate School is the final version approved by my committee and agree that no changes will be made other than those required by the Graduate School.
Student Signature: _______________________________________________________ Date: ______________________
[OFFICIAL USE ONLY]Graduate School Editor Approval: ___________________________________________________ Date: ____________________
Graduate School Dean Approval: ___________________________________________________ Date: ____________________
Last (Family) Name First Name Initial
Printed Name Signature Date
Printed Name Signature Date
Printed Name Signature Date
Committee
University of Oregon Graduate School
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