College of Education Page 1 of 2 – Enter your data into the appropriate Doctoral Program of Studies fields and print each page

Name: U Number:

Address: City:

State: Zip Code: Phone: (H) (W)

Email: @ memphis.edu

Degree Information Prior Degrees Major Minor Institution Date

Degree Desired Major Concentration

(Note: Wording must be exactly as it appears in the Graduate Bulletin)

Admissions Information Verbal Quantitative Total (V&Q) GRE Scores:

Date Admitted to Department: Master’s GPA:

Residency Information

Residency Plan Course Enrollment Option (Select A, B, or C): Plan A = 9 hrs/semester for 2 consecutive semesters Plan B = 6 hrs/semester for 3 consecutive semesters Plan C = consecutive enrollment for 9 hrs first summer, 3 hrs fall, 3 hrs spring, and 9 hrs second summer List each semester to be included

Program Target Dates

Proposed Dates Course Work Comprehensive Exam Dissertation of Semester or Month Completion Year

Signatures: Information Chair: Date Committee Members:

Dept. Chair:

Director of Graduate Studies:

A Tennessee Board of Regents Institution. An Equal Opportunity/Affirmative Action University College of Education Doctoral Program of Studies

Program Structure – Page 2 of 2 Major 42-45 Hrs.

Dept. Course # Course Title Grade Hrs Institution Date

Research 9-12 Hrs.

Dept. Course # Course Title Grade Hrs Institution Date EDPR 8541 Stat. Meth. Appl. Ed I 3 EDPR 8542 Stat. Meth. Appl. Ed II 3

Hours in Major: Hours in Research: Total Hours (Major and Research):

Doctoral Program of Studies-Word Version 10-22-09

A Tennessee Board of Regents Institution. An Equal Opportunity/Affirmative Action University