The Graduate School

Application for Admission to Candidacy

Doctor of Education in Educational Leadership (Ed.D.)

Admission to candidacy for the Doctor of Education degree is recognition of a stage in advancement to the degree. Immediately after satisfactory defense of the Qualifying Paper examination, the student shall make application for admission to candidacy by completing this Graduate School form. Submission and approval of this form indicates that the requirements have been completed, identified below, for the admission of the following student to candidacy for the degree of Doctor of Education in the Department of Educational Foundations and Leadership.

Student Information

Student Name: / Student CLID:

Course Information

List all graduate coursework, which is to be applied to this degree, below. Place an asterisk next to work completed at another institution. Please note also that applicants for candidacy must sign the copyright compliance form (on the back of this form).

The Graduate School

University of Louisiana at Lafayette

104 University Circle, Rooms 332, 219  P.O. Box 44610

Lafayette, LA 70504  337.482.6965 

Revised 2014.10.30

Course / Grade / Credit / Semester
Research Requirements (15 hrs.)
Specialization Coursework (6-9 hrs.)
Course / Grade / Credit / Semester
Dissertation Seminars/Dissertation Hours
Educational Leadership & Management Courses

The Graduate School

University of Louisiana at Lafayette

104 University Circle, Rooms 332, 219  P.O. Box 44610

Lafayette, LA 70504  337.482.6965 

Revised 2014.10.30

Date Qualifying Paper Examination completed:
Proposed Ed.D. Prospectus Title:

Approvals

The Graduate School

University of Louisiana at Lafayette

104 University Circle, Rooms 332, 219  P.O. Box 44610

Lafayette, LA 70504  337.482.6965 

Revised 2014.10.30

The Graduate School

University of Louisiana at Lafayette

104 University Circle, Rooms 332, 219  P.O. Box 44610

Lafayette, LA 70504  337.482.6965 

Revised 2014.10.30


Signature of Applicant date


Advisor/Dissertation Committee Chair date

Ed.D. Coordinator or Department Head date


College of Education Director of Grad. Studies/Assoc. Dean date

Chair, Graduate Council date

Dean of the Graduate School date

The Graduate School

University of Louisiana at Lafayette

104 University Circle, Rooms 332, 219  P.O. Box 44610

Lafayette, LA 70504  337.482.6965 

Revised 2014.10.30

C: Candidate, Ed.D. Program Coordinator, College of Education Director of Grad. Studies/Assoc. Dean

The Graduate School

University of Louisiana at Lafayette

104 University Circle, Rooms 332, 219  P.O. Box 44610

Lafayette, LA 70504  337.482.6965 

Revised 2014.10.30

The Graduate School

University of Louisiana at Lafayette

104 University Circle, Rooms 332, 219  P.O. Box 44610

Lafayette, LA 70504  337.482.6965 

Revised 2014.10.30

The Graduate School

Acknowledgement of Responsibility for Copyright Compliance

As a graduate student writing a thesis, dissertation, or DNP synthesis project at the University of Louisiana at Lafayette, I declare that I understand the contents of the following statements and that I intend to uphold the agreements therein:

1.  I understand and agree that if my thesis, dissertation, or DNP synthesis project contains copyrighted materials, either implied or indicated, I am solely responsible for obtaining written permission, where necessary, for the same prior to the completion of any work as submitted for final review prior to its approval. It is my responsibility to maintain these written permissions.

2.  I agree to indemnify and hold harmless, the University of Louisiana at Lafayette, its employees, agents, and representatives, in any claim or lawsuit that may be made or filed, which arises from my fulfillment of the requirements for my graduate degree, thesis, dissertation, or DNP synthesis project, or similar work.

Student Information

Student Name: / Student CLID:
Signature: / Date:

The Graduate School

University of Louisiana at Lafayette

104 University Circle, Rooms 332, 219  P.O. Box 44610

Lafayette, LA 70504  337.482.6965 

Revised 2014.10.30