New Submission for Dissertation Defense Announcement - Must be Submitted by Graduate Coordinator's Office

[Student full name as it appears in academic record.]

[Student 810XXXXXX number from UGA ID card. Enter only 9 digits.]

[Student UGA MyID Email Address.]

[Use format month/day/year, for example: 7/4/1776.]

[For instance 1:00 PM or 10:30 AM.]

[Name only, please. No "Dr.", "Professor", etc...]

[Email address of person submitting this form]