HSE Advanced Degrees Department Extension Request Form
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).

Questions? Contact education@hamline.edu

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)
Required
Please indicate the name of your Primary Advisor (for Capstone) or Chair (for Dissertation).
Answer only if you are requesting a Capstone or Dissertation extension.
Your answer
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
Anticipated Completion Year
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
Submit
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