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The Catholic University of America Date:
Washington, D.C.
Doctoral Dissertation Topic and Committee: Request for Approval
(Please Type)
Student ID#: Candidate’s Name:
Department / Program: School: Degree Sought:
Having been admitted to candidacy for the above doctoral degree on (specify date) the above candidate wishes
to submit the following topic for the approval of the University:
Dissertation Title:
Supporting information concerning the topic and the projected research (methodology, purpose, contribution, etc.) is submitted on the attached pages(s).
The topic will be investigated and the dissertation prepared under the direction of the following committee:
Full Name, Highest Degree Held Faculty Rank, Department and/or School
Major Professor:
First Reader:
Second Reader:
Additional Member:
(if any)
Human Subjects The proposed research does not involve human research subjects.
The proposed research does involve human research subjects, and requires full committee review.
The proposed research does involve human subjects, however is exempt under 45 CFR 46,
para.46.l0l(b) (note appropriate subparagraph), and requires verification only.
The proposed research does not involve animal research subjects.
The proposed research does involve animal research subjects, and requires full committee review.
Animal Subjects
Proposed by: By signing, the candidate acknowledges that he/she has read and complied with the instructions for preparing a proposal.
Degree Candidate Date
Endorsed by:
Major Professor of Proposed Committee Date
Chair/Director of Department/Program (if applicable) Date Dean of School Date
Recommended by:
_ Reviewed and Approved by External Reviewer
Committee for the Protection of Human Research Date Date _____
Subjects or Institutional Animal Care and Use
Committee (if applicable)
Approved by:
Vice Provost and Dean of Graduate Studies DateRevised May 5, 2015 The Catholic University of America Date: __________ _
Washington, D.C.
Report of External Reviewer
Purpose and directions: The proposal received by the external reviewer has already been approved by the student’s dissertation
committee and his or her school. The purpose of the external review is to determine in a broad sense whether the proposal meets the
standards of a doctoral dissertation. Please use the “Instructions for Preparing the Proposal” document as a rubric for evaluating the
proposal. If the proposal meets the standards of a doctoral dissertation and follows the guidelines listed in the “Instructions for
Preparing the Proposal” document, please check the “Approved” box and sign the approval form without adding additional comments.
If the proposal could be improved, but it meets the requirements listed above, please check “Approved with minor revisions” and offer
optional comments on this document. If, however, the proposal is either not sufficiently clear or it does not meet the requirements
listed in the “Instructions for Preparing the Proposal”, please check “Revision Required” and offer their comments on improving the
proposal on this document. If the reviewer checks the “Revision Required” box, they can withhold their signature on this and request
that the student resubmit a revised proposal that addresses the reviewer’s concerns. The reviewer can also request a second reading of
the proposal before granting approval for proceeding to the dissertation writing stage ..
Student ID#: Candidate’s Name:
If “Revision Required”, the external
0 reviewer will re-read the proposal QApproved 0 Approved with minor revisions 0Revision Required again before granting approval.
Signature of External Reviewer Date
Name (Typed or Printed) Date
Comments may be typed here or submitted on a separate page
External Reviewer Comments to the Dean (This will !!J!1 be shown to the candidate):
External Reviewer Comments to the Candidate:
Revised May 5, 2015
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