Registration Form for Dissertation III and IV All information on this form must be complete in order to process dissertation registration If any items are left incomplete, this form will be returned to you Date Name Hameline ID Number Address City _ St _ZIP Work phone ( ) Home phone ( ) E-mail address Registration Term _Fall _Winter Dissertation Term _IV _III _Spring _Summer 20 _ NOTE: Students may not register for GED 8993 and GED 8994 unitl after the proposal meeting is held Committee Information Dissertation Chair _Signature Reader 1 Address City St _ZIP _ Work phone ( ) Home phone ( ) Signature E-mail _ Reader 2 _ Address City _St _ZIP Work phone ( ) Home phone ( ) Signature E-mail _ Please submit this form to: Hamline University MS-A1720 1536 Hewitt Ave St Paul, MN 55104 Email: ematson01@hamline.edu