Department of Disability and Psychoeducational Studies

Request to Schedule

Qualifying Examination

Date:
Student Name: / Student ID:
Address:
Phone #s: / Email:
Degree:Ed.S. Doctoral / Major: SPEC RHAB SCPS / Study Area:
Qualifying Examination Schedule
Student to specify arrangement
For Major, / Date: / Time: / Room:
For Minor, / Date: / Time: / Room:

The STUDENT is responsible for reserving a room for this two-hour exam. To reserve a room, contact the receptionist in room 412, (520) 621-7822. This request form must be received by the Graduate Coordinator in room 414at least three weeks prior to the exam date. If special physical arrangements are needed for the exam, the student must notify the department in advance.
In the event that you might have questions regarding your qualifying exam, please contact your committee members.

As a member of the qualifying exam committee for the above-named student, I have agreed with the student on time and date.

Major Committee
Student neatly print committee names
/ Committee Initials / Signature
Committee to sign/initial for approval
Major Committee Chair
Minor Committee
Student neatly print committee names / Committee Initials / Signature
Committee to sign/initial for approval
Minor Committee Chair

Qualifying Examination

Report

Date:
Student Name: / Student ID:
Address:
Phone #s: / Email:
Degree:Ed.S. Doctoral / Major: SPEC RHAB SCPS / Study Area:

The STUDENT is responsible for completing this form, taking it to the exam, and then returning it (initialed/signed, with results indicated) to the Graduate Coordinator in room 414 of the Education Building. It becomes part of the permanent file of the student.

As a member of the qualifying exam committee for the above-named student, I agree to evaluate the paper.

Qualifying Examination Evaluation

Major Committee
Student to neatly print committee names / Committee Initials / Signature
Committee to sign/initial for approval / GradeCommittee member to circle grade
Pass or Fail
Major Committee Chair
Exam Date
Minor Committee
Student to neatly print committee names / Committee Initials / Signature
Committee to sign/initial for approval / GradeCommittee member to circle grade
Pass or Fail
Minor Committee Chair
Exam Date

Last modified: 2009 October