Request for SJC Extension of Time for Doctoral Degree

First and Last Name*

First Name

Last Name

X-Number*

St. John's University Email*

Date*

Academic Program*

(e.g. Biology, PhD or World History, PhD)

What is your dissertation mentor's name?*

What is your dissertation mentor's St. John's email? *

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

Which of the following degree requirements have you completed (check all that apply)?*

Coursework Preliminary Exams Proposal Final Oral Defense

What is your date of completion or anticipated completion for coursework?*

What is your date of completion or anticipated completion for preliminary exams?*

What is your date of completion or anticipated completion for proposal approval?*

What is your date of completion or anticipated completion for your final oral defense?*

Through which semester are you requesting an extension?*

Please describe the progress you have made toward the completion of your degree up to now. *

Please describe the requirements you have remaining to complete and your plan for completing them.*

What is your rationale for requesting this extension?*

St. John's College - Request for Extension of Time for Doctoral Degree