Certificate of Approval

This form (aka the "Signature Page") is required for all School of Medicine graduate students enrolled in a PhD or master's thesis degree program. It must be approved by the OEC and the Associate Dean before, or at the time, a student submits their dissertation or thesis to the library and no later than the last day of the term graduating.

Prior to submission, students must have submitted: 1) Advancement to PhD Candidacy (PhD only) 2) Request for Advisory Committee, 3) Request for Oral Examination 4) Oral Exam Certificate. Please note that students should not complete this form until all dissertation or thesis edits have been completed (post oral examination) in consultation with their committee chair. Once successfully routed, the student and program representative will receive confirmation via email.

Questions? Contact Graduate Studies at somgrad@ohsu.edu.

Student Information

UID*

Please list the "U" before the ID number (e.g. U12345678)

Student First Name*

Student Last Name*

Student OHSU Email*

Major*

Select or enter value

Degree*

Select

Program Coordinator Name*

Program Coordinator Email*

Date of Exam*

MM/DD/YYYY

Dissertation/Thesis Title*

Committee Chair's Information

Chair Name*

Chair's Email*

Mentor's Information

Mentor Name*

Mentor Email*

Member A's Information

Member A*

Member A: Email*

Additional Committee Members Information

Additional Members*

Would you like to add any additional committee members? For committees with more than 7 members in total, please contact Graduate Studies at somgrad@ohsu.edu for further instructions before submitting.

No Additional Member(s)

1 Additional Member

2 Additional Members

3 Additional Members

Member B*

Member B: Email*

Member C*

Member C: Email*

Member D*

Member D: Email*

Send me a copy of my responses

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