SJC DIS2 & DIS3 - Dissertation Reader's Copy

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St. John's College - Doctoral Reader's Copy Receipt and Report to the Dean - Forms DIS2 & DIS3

Prior to submitting this form, you should have distributed your reader's copy to each member of your dissertation committee. Each member of your committee will be required to confirm their receipt of your reader's copy and indicate whether it is approved.

First and Last Name*

First Name

Last Name

X-Number*

St. John's University Email*

Date

Topic/Proposed Title:*

Academic Program*

(e.g. School Psychology, PsyD)

What is your Department Chair's Email? (Please select one from the list below)*

Department/Institute/Division	Chair	Email Address
Biology	Dr. Howarth	howarthd@stjohns.edu
English	Dr. Travis	travisj@stjohns.edu
History	Dr. Rumstomji	rustomjn@stjohns.edu
Psychology	Dr. Hodges	hodgese@stjohns.edu

Mentor and Reader Information

Faculty Mentor Name*

Mentor's SJU Email*

Please re-enter the Mentor's SJU email *

@stjohns.edu

Dissertation Reader 1 Name*

Dissertation Reader 1's SJU Email*

Please re-enter first dissertation reader's SJU email *

Dissertation Reader 2 Name*

If your second reader is an outside reader, please use this name: Outside Reader

Dissertation Reader 2's SJU Email*

Please re-enter second dissertation reader's SJU email *

If your second reader is an outside reader, please use this email address: hyslopa@stjohns.edu

Do you have additional St. John's faculty readers on your thesis committee?*

Yes No

How many additional readers from St. John's do you have?*

1 2

Additional St. John's Readers

Dissertation Reader 3 Name*

Dissertation Reader 3's Email*

Please re-enter the third dissertation reader's SJU email *

Dissertation Reader 4 Name*

Dissertation Reader 4's Email*

Please re-enter the fourth dissertation reader's SJU email *

Outside Readers

Are any of your readers from outside of St. John's University?*

Yes No

Outside Reader's Name*

Date

As the student's dean, can you confirm you have received the approval of the student's reader copy?*

I have received the approval for the reader's copy. I have not received the approval for the reader's copy.