Fillable Thesis Extension Request Form (Naval Postgraduate School)

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Thesis Extension Request Form (Naval Postgraduate School)

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Thesis Extension Request Form
Thesis / Dissertation / MBA Report / Joint Applied Project
Please complete this form and email it to your Thesis Advisor and cc your Program Ocer and Student Services
(sa@nps.edu), by no later than 1 week prior to graduation. Contact your Program Ocer if you have any
questions or need assistance in completing this form.
Continue to Page 2. pg 1 of 3
(Number of times you have
requested this extension previously.)
Personal Information
Program/Project Information
Advisors
Middle Initial
First NameLast Name
Today’s Date (MM/DD/YY)
Military Branch or Civilian AgencyRank or Civil Service Grade Country/Citizenship
Previous Extension RequestsDegree Program
Your Thesis Advisor’s Name
Current Extension Expiration (N/A if rst)Original Graduation Date
Mailing Address
Post-NPS EmailPost-NPS Phone
Thesis Advisor’s email
Program Ocer’s Name
Program Ocer’s email
0 - This is my first request
Extension Form (continued)
Please explain your reasons for making this request. If you need more space you may include an additional Word Doc or
PDF when submitting this PDF form. If you will be including an attachment, please mention that in the space below.
Sign and email this form and any attachments to your Thesis Advisor and cc your
Program Ocer and Student Services (sa@nps.edu).
pg 2 of 3
NAVAL POSTGRADUATE SCHOOL
Justication for Request & Thesis Planning
Agreements and Signature
Student Digital Signature (Required).
Your Justication:
Thesis Completion Plan (Benchmarks, milestones, etc.)
I understand that I am solely responsible for ling my own timely thesis extension request(s) and that my
degree candidacy expires anytime I let my extension expire, including any lapse between requests, or if I exceed
the three year maximum extension policy without explicit Academic Council approval.
I further understand that for both resident and non-resident students, the need for an active and approved
extension commences on my original expected graduation date, and that approval from the Academic Council
to extend beyond the third extension from that date is processed by separate correspondence to the Council
and is only granted in extraordinary circumstances, typically beyond the control of the requestor.
Yes
Yes
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signature
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Please review and sign in the order listed below.
-Dept. Chair: Upon completion, return to Education Tech.
-Ed. Tech: File and cc Student Services at SA@nps.edu.
Extension Form Signatures
pg 3 of 3
NAVAL POSTGRADUATE SCHOOL
Required Signatures (OFFICIAL USE ONLY)
To: Department Chair
Recommended:
(1) Thesis Advisor
(2) Academic Associate
(3) Program Off
icer,
Approved: Department Chair, Signature
(4)
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Thesis Extension Request Form (Naval Postgraduate School)

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Completed 23 July 2020

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