Approval for Dissertation Submission/Recommended Examiners

Purpose: This internal form is to be filed with ICSLAC before official submission of the dissertation by the candidate. Potential examiners will not be approached until it is filed. The form records the following:

•The full Dissertation Committee's approval to proceed to official submission;

•The Candidate's intent to officially submit their dissertation in two weeks;

•Acknowledgement of conflict of interest regulations;

•Dissertation abstract as submitted by the candidate;

•Recommendations for Internal and External Examiners inclusive of rationale.

Responsibility:The form must be filed by the Supervisor (or lead Co-supervisor), on behalf of the candidate and the Dissertation Committee.

Timing: The form must be filed two weeks before official submission of the dissertation by the candidate.

Recommended Examiners: Please note that Supervisor and candidate must remain at arm's length from recommended examiners, who should not be contacted by anyone but ICSLAC's Director. At least two choices (preferably three) must be submitted for both the external and internal examiners. The Director may need to approach the Supervisor for further recommendations.

Date*
DD dash MM dash YYYY
Name of PhD Candidate
First Last
Name of Supervisor (or lead Co-supervisor)*
First Last Email
Name of other Co-Supervisor (if applicable)
First Last Department ((and email contact if non-Carleton)
Name of first Advising Committee Member*
First Last Department (and email contact if non-Carleton)
Name of second Advising Committee Member*
First Last Department (and email contact if non-Carleton)
Committee's confirmation that the dissertation has been approved for official submission*
As Supervisor (or lead Co-supervisor), I confirm that the final draft of the dissertation has been reviewed and approved by the entire Dissertation Committee (membership detailed above) for official submission.
Confirmation of candidate's intent to officially submit their dissertation*
As confirmed to me by the candidate, I am relaying as Supervisor (or lead Co-supervisor) their intention to officially submit their dissertation in two weeks from today's date.
Dissertation abstract as submitted by the candidate*
Max. file size: 15 MB.
Please attached the candidate's abstract in Word or PDF format, to be shared with potential examiners.
Potential Examiners: Conflict of Interest Acknowledgement*
I confirm that both Supervisor (or Co-supervisors) and candidate abide by section 2.2.1 (Conflict of Interest) of Carleton's Examination Policy (https://gradstudents.carleton.ca/wp-content/uploads/Thesis-Examination-Policy-revised-Jan-2022-1.pdf)
External Examiner: First Choice
Full name and affiliation Email contact Rationale (cut and paste)
External Examiner: Second Choice
Full name and affiliation Email contact Rationale (cut and paste)
External Examiner: Third Choice
Full name and affiliation Email contact Rationale (cut and paste)
Internal Examiner: First Choice
Full name and affiliation Email contact Rationale
Internal Examiner: Second Choice
Full name and affiliation Email contact Rationale (cut and paste)
Internal Examiner: Third Choice
Full name and affiliation Email contact Rationale (cut and paste)
Name
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