Name:

Student I.D.:

Department or Program

First Date of Registration:

Members of Thesis Committee:

Official Leaves of Absence (list dates and reasons):

Remaining Ph.D. Requirements:

Working Title of Dissertation:

To be completed by the student.

1. What progress have you made on your dissertation research and writing during the past year? (Do not include progress recorded in last year's report.) Please explain departures from last year's goals.

   
   
   
   
   
   

2. Please outline objectives and propose a timetable for completing your dissertation. Indicate which parts you expect to complete during the next year.

   
   
   
   
   
   

To be completed by the student's advisor.

1. Comments on student's progress on the dissertation during the last year, and on any departures from last year's goals.

   
   
   
   
   
   

2. Comments on student's objectives for the next year.

   
   
   
   
   
   

3. Comments on student's timetable for completing the program. Include an estimated completion date for the student.

   
   
   
   
   
   

   Advisor's Signature: I have met with the student to discuss his or her progress. Affirmed: Date: Signatures of Thesis Committee (if required by department):

   
   

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   To be completed by student after meeting with advisor and/or thesis committee.

   1. Reply to advisor's comments.

      
      
      
      
      
      

   Signed:

   
   
   

   (Return annually to department before April 30. Original to departmental file; copy to student and Graduate School of Arts and Sciences with the annual departmental progress evaluation.)