Extension Request Form HiddenMultipart Step RequestName* Student ID* Email Address* Approximate Date of Program Entry* MM slash DD slash YYYY Current Program Completion Deadline* MM slash DD slash YYYY If you have not been given an updated deadline by the department, you can calculate your completion deadline by adding six years to your date of program entry.Approximate Date of RES8001 Completion* MM slash DD slash YYYY On which component are you currently working?*Qualifying PaperDissertation ProposalDissertationRequested Deadline Date for Final Dissertation Defense*May – end of spring semesterAugust – end of summer semesterDecember – end of fall semesterPlease suggest a specific date for intended completion of the Final Dissertation. You will indicate the year in the next step.Requested Deadline Year for Final Dissertation Defense* Please indicate which year you’d like your deadline to fall.Who are your assigned committee members?*Committee Chair Email Address* Justification for Extension Request*Documentation to Verify Circumstances (Optional) Drop files here or Select files Accepted file types: pdf, Max. file size: 25 MB. Depending on the nature of your extenuating circumstances, please provide documentation and/or verification.First and Last Name* By entering your first and last name, you confirm that the information you have entered is accurate.Date* MM slash DD slash YYYY Form ResponseYour Name* How would you like to respond?* Confirm Decline More information requested **If you select “More information requested”, note that you will need to eventually click the “Respond to this Request” link in the original request again in order to re-gain access to this form and provide your eventual response of Confirm or Decline.CommentsComments will be received by both department staff AND the requesting student.
