HSE Advanced Degrees Department Extension Request Form
If you are requesting a Capstone or Dissertation extension, you must have approval from your committee members for their continued service until the completion of your project.

Questions? Contact Mary Speranza-Reeder at msperanzareeder01@hamline.edu or 651-523-2484.

Date Submitted
Your answer
Last Name
Your answer
First Name
Your answer
Hamline ID Number
Your answer
E-Mail Address
Your answer
Phone Number
Your answer
Degree Program
Please check one
Indicate type of extension requested (can choose more than one)
If you are requesting a Capstone or Dissertation extension, you must have approval from your committee for their continued service until the completion of your project. If you are requesting a Program Extension, your response must take into account the course work needed to complete the program. You must request enough time to complete that course work (one term for each 4 credit course, three terms for completion of the Capstone).
Required
My committee members have agreed to continued service until the completion of my project
Answer only if you are requesting a Capstone or Dissertation extension.
E-Mail Address of Primary Advisor/Chair
Answer only if you are requesting a Capstone or Dissertation extension.
Your answer
E-Mail Address of Secondary Advisor/Reader 1
Answer only if you are requesting a Capstone or Dissertation extension.
Your answer
E-Mail Address of Peer Reviewer/Reader 2
Answer only if you are requesting a Capstone or Dissertation extension.
Your answer
Term and year you were admitted into your degree program
Answer only if you are requesting a program extension.
Your answer
Term and year you registered for the Capstone or Dissertation
Answer only if you are requesting a Capstone or Dissertation extension
Your answer
Describe your situation and need for extension
Your answer
Anticipated Completion Term
If you are requesting a Program Extension, your response must take into account the course work needed to complete the program. You must request enough time to complete that course work (one term for each 4 credit course, three terms for completion of the Capstone).
Anticipated Completion Year
If you are requesting a Program Extension, your response must take into account the course work needed to complete the program. You must request enough time to complete that course work (one term for each 4 credit course, three terms for completion of the Capstone).
Your answer
Have you been granted an extension in the past?
If yes, enter the type of extension and when was it granted
Your answer
Electronic Signature
Required
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