/
DPE AnnualDoctoral Student Monitoring Form 2015-16

All students in the DPE PhD program are required to fill out this form and make an appointment with their faculty supervisor/advisor for review and signature. When completed, submit to Jennifer Choby March 31, 2016.

Student Name:
/ Date:
Student Number: / Email:
Faculty Advisor: / Year of Entry into Current Program
PhD  EdD 

Below we have outlined the expected time-line for your program. If you have been unable to complete any element of your program within the expected time-line, please give an explanation.

YEAR 1COMPLETEDIF NOT COMPLETED,

6 half courses YES NO PLEASEEXPLAIN

Give Final Grades

Course # ______Grade ______

Course # ______Grade ______

Course # ______Grade ______

Course # ______Grade ______

Course # ______Grade ______

Course # ______Grade ______

YEAR 2COMPLETEDNOTES

PhD Comprehensive YES NO ______

Completed ______

Formation of Thesis YES NO ______

Committee Form ______

submitted to DPE ______

Program Liaison

Thesis Proposal YES NO ______

underway ______

______

Thesis Title: ______

______

YEAR 3COMPLETED

Thesis proposal formally YES NO ______

accepted by committee ______

(Form required) ______

Ethical review completedYES NO ______

______

______

Data collection completedYES NO ______

______

______

YEAR 4 COMPLETED

Data analysis completed YES NO ______

Date of Thesis Committee Meeting:

For the Advisor / Supervisor
What progress has the student made during the past academic year toward completing the thesis? Indicate the amount of material produced and its stage of completion.What are the recommendations of the Thesis Committee?
Estimate amount of work that remains to be completed:
What has the student achieved with respect to professional development (e.g., conference presentations or attendance, publications, etc.) during the past year?
For the Student
Student’s comments on progress and commitment to finish:
Leave of Absence
Have you taken a formal leaves of absence? Yes  No 
If Yes, specify dates:
Are you planning to take a formal leave of absence? Yes  No 
If Yes, specify dates:
For the Advisor/Supervisor
What is the Committee’s general assessment of the student’s progress during the past year?
Thesis Committee Membership
Please print the names of the Committee members, and ALL members sign below:
Supervisor ______Signature ______
Member 1 ______Signature ______
Member 2 ______Signature ______
Student Signature: / Date:

1/3