PhD Form II - Final Degree Request Form

If you have defended your dissertation and are ready to file, please begin by completing this form. SEGA will receive the information you've entered and initiate the DocuSign process to involve all required signers. Required signers will then receive a notification via email. The final form will be delivered to Graduate Division electronically.

Please take note of all Graduate Division advancement and final degree deadlines here: https://grad.uci.edu/current-students/filing-deadlines/

Requests should be submitted 7 days before the stated Graduate Division Deadline.

First Name

Last Name

Student ID Number

UCI Email

Program

Dissertation Title

Full Name of Dissertation Committee Chair

UCI Email of Dissertation Committee Chair

Committee Member 1 - Full Name

Committee Member 1 - Email

Committee Member 2 - Full Name

Committee Member 2 - Email

Committee Member 3 - Full Name

Committee Member 3 - Email

Committee Member 4 - Full Name

Committee Member 4 - Email

Committee Member 5 - Full Name

Committee Member 5 - Email

Full Name of Oversight Member

Only when a conflict of interest exists. Pre-approved by Graduate Division.

UCI Email of Oversight Member

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PhD Form II - Final Degree Request Form

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