1
THESIS/DISSERTATION ORAL DEFENSE FORMPART 1
This Part 1 form is to be completed during the oral defense and submitted to the Graduate College as the official
university record of the oral defense results.
This completed form must be emailed to ETD@nau.edu within 48 hours of the defense by the Unit Chair/Director
(for master’s defenses) or by the University Graduate Committee Representative (for doctoral defenses).
THIS FORM WILL NOT BE ACCEPTED IF SUBMITTED BY THE STUDENT. The Chair will also make a copy for the
Graduate Coordinator and the departmental file.
Part 2, now a separate form, is completed after all the requirements of the oral defense are met and the final
document is ready for publishing. Part 2 Form
Candidate’s Name:_________________________ NAU ID Number:_______________Defense Date:_______________
Committee Chair’s Name: _________________________________
PLEASE CHECK ONE: Master’s Degree Doctoral Degree
Degree and Program (e.g., Ph.D. Biology; M.A. Psychology): _____________________
Defense vote summary (a two-thirds majority of the appointed committee is required to pass):
Number of P
ASS votes: ___________ Number of FAIL votes: ___________
Speci
fy changes and other requirements that must be completed and the committee member(s) who will verify
that all specified requirements have been met (attach Word document, if necessary/desired):
Committee Member Signatures
Printed Name
1.___________________________________________________________________________
Date:
By checking this box, I verify I have electronically signed and approve this document.
2
Committee Member Signatures
Printed Name
2.
Date:
By checking this box, I verify I have electronically signed and approve this document.
3._____________________________________________________________________________
Date:
By checking this box, I verify I have electronically signed and approve this document.
4. ____________________________________________________________________________ _
Date:
By checking this box, I verify I have electronically signed and approve this document.
5. ___________________________________________________________________________ _ _
Date:
By checking this box, I verify I have electronically signed and approve this document.
6. ___________________________________________________________________________ _ _
Date:
By checking this box, I verify I have electronically signed and approve this document.
Master’s Defense (unit chair, director, or their designee):
Date:
By checking this box, I verify I have electronically signed and approve this document.
Doctoral Defense (UGC Representative):
Date:
By checking this box, I verify I have electronically signed and approve this document.
Revised:7/1/2020
Additional Signatures