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Doctoral Written Preliminary Examination Application

Complete this application, sign, review with your advisor, have advisor sign, then submit to the department no later than one month prior to the exam date.

Indicate when you are applying to take exam: School Psychology: October _ (Year)

Counseling: January ___ __(Year) April __ ___ (Year) August _ ____ (Year) NOTE: Student must be enrolled in at least a minimum of one credit hour from the program of study during the semester in which he/she sits for the exam.

Name: MSU 9-digit ID: - -

Mailing Address: __________________________________________________________ E-mail Address: __________________________________________________________ Phone (home/work/cell): __________________ / __________________ / ___________________ Name of Advisor: __________________________________________________________ Major: Educational Psychology

Clinical Mental Health Counseling Rehabilitation Counseling

Student Affairs Admin School Counseling School Psychology

Minor : __________________________________________________________

Minor Advisor: ____________________________Date Completed:_________________ Please list the course(s) to be taken the semester you sit for the exam:

________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ Please complete the checklist below to determine the status of your Program of Study and/or

eligibility to sit for the doctoral written preliminary examination. If you have met the requirement listed please place an "X" in the blank.

If you have not fulfilled/completed a requirement, please contact your advisor for clarification prior to submission of your application.

My major advisor and I have corrected, approved, signed and dated my Program of Study and the original is on file with the departmental Records Manager and maintained in the student’s file.

A transcript for all TRANSFER course work is on file with the departmental and an original transcript is on file in the Registrar’s Office. The “Transfer of Credit” form has been included in my current program of study.

No more than nine hours on my Program of Study were taken in an unclassified status (taken prior to admission to the doctoral degree program).

Any course on my Program of Study with a grade lower than a "C" has been retaken. My cumulative Grade Point Average (GPA) is 3.00 or above.

On the date of the exam, I will have completed all but a maximum of 6 credit hours on my program of study (excluding internship and/or practicum), and dissertation hours.

I have applied for graduation in the Registrar's Office OR I intend to apply for graduation. (Student must apply for Graduation in order to receive the degree.)

The combination of workshop or directed individual study courses (maximum of six semester hours allowed) and special problem courses (maximum of six semester hours allowed) does not exceed nine semester hours.

The first course on my Program of Study at MSU was taken within the past 8 years. I have completed all requirements for my minor including the comprehensive exam and notification has been provided to the Department.

I have satisfied residency requirements of the University.

I have satisfied research skill requirements and evidence has been provided to the department. Research Skill #1:

Research Skill #2:

Student's Signature: Date:

Advisor’s Signature:_________________________________________ Date: _____________ [Submit completed application to the Department for processing.]

ACTION TAKEN ON APPLICATION

Certified to sit for exam. NOT certified to sit for exam.

I. Doctoral Graduation Checklist Student’s Name:

Major: Emphasis: Advisor:

Minor: Advisor:

Date Completed To be Completed M M Y Y

Admitted to doctoral program Anticipated graduation date

Last possible graduation date (5 years from date of passing WPE)

Extension of Time (required if student does not complete degree in 8 yrs) Committee Request form (submit by end of 1st semester in program) Committee Change form (submit as changes occur)

Program of Study (submit by end of 1st semester in program)

Page 3 Program of Study (list courses earned in another degree program and accepted toward fulfilling requirements of PhD at MSU)

Request to take course(s) elsewhere (request form must be completed by student, submitted to advisor for approval, & filed in student’s folder) Transfer Hours (must list courses taken elsewhere specifically to be applied

toward PhD on “Transfer Approval Sheet” & attach to program)

Program Change Form (student prepares & submits form as changes occur) Program Check prior to Applying to sit for Prelims (compare program with

current transcript for accuracy and make any changes necessary)

Application to take Prelims (student completes form, submits to advisor for approval, forwards to Records Manager for processing)

Preliminary Exam (doctoral written exam) (exam administered 3 times a year-Jan, Apr, Aug; results indicated on “Report of Exam Results” form in student’s file)

MM YY

Oral Defense of Prelims (date set by advisor w/student; student to notify committee members of date, time, place)

Admission to Candidacy form (completed by advisor, signed at dissertation proposal mtg, placed in student’s file, submitted to Grad Studies with grad checklist)

Research Skill #1

Research Skill #2 (presentation or publication - student must provide evidence for file, i.e. program/publication info)

Dissertation Proposal (student proposes dissertation to full committee; “Approval Form” completed at meeting, signed, & placed in student’s file) Oral Defense of Dissertation (committee meets for student’s dissertation

defense)

Program Check prior to Applying for Degree (compare program with current transcript for accuracy and make any changes necessary)

Apply for Degree (student submits application in Registrar’s Office at the beginning of semester in which student intends to graduate)

Graduation Checklist (Records Manager completes checklist review, Graduate Coordinator signs, original sent to Graduate Studies, copy to student’s file)

Cleared for Graduation:

J. Dissertation Proposal Approval Form

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