Qualifying Exams and Dissertation Evaluation Form To be filled out by Committee Members at the event. Evaluation Details Milestone to be Evaluated: * Qualifying Exams Dissertation Proposal Dissertation Defense Date of Event * If Dissertation, Title of Dissertation Specific Performance Domains Rating Scale: 3 = Pass: Consistently good quality; meets expectations. 2 = Revise: Inconsistent quality; shows evidence of ability to meet expectations. 1 = No Pass: Consistently poor quality; shows evidence of need for remedial training to gain additional skills. NA = Not applicable for this program requirement. 1. Editorial Quality of the Written Document * For example: APA style, clarity of expression, organization, and free of typos. 3 2 1 NA 2. Scholarly and Scientific Quality of the Written Document * For example: depth, breadth, integration, and analytic techniques. 3 2 1 NA 3. Quality of the Presentation and Response to Questions * For example: slides, oral communication, and time management. This includes content in history and systems of psychology in Qualifying Exams; knowledge of research theory, application and construction; and adequate recognition and accounting for diversity issues in research and clinical work and clinical theory in both Qualifying Exams and Dissertation. 3 2 1 NA Overall Evaluation Comments to support rankings on the above and other areas of strength or areas for improvement: Remediation Necessary? * Yes No Global rating of performance on specified program requirement: * -- Select Global Rating --PassReviseNo Pass Signatures Note: Handwritten signatures are required. Please click "Generate Printout" below, then sign the printed document. Doctoral Chair: __________________________________________ Committee Member 1: ______________________________________ Committee Member 2: ______________________________________ Student Name: ____________________________________________ Student Signature: _________________________________________ Date: _________ My signature on this form indicates only that these results have been shared with me. Generate Printout Clicking this will validate the form and open a clean, printable copy for signatures.