Forms

The dissertation packet includes paper copies of these forms, and PDFs are available on the web.

1. Departmental Approval Form: The departmental approval form must be dated and signed in ink (no stamps; no faxes; no photocopies) by your department chair, indicating departmental approval of specific copies of your dissertation. The department chair reviews these copies, and the Dissertation Office will not accept the two final copies of your dissertation unless they are accompanied by this form.
   
   
2. ProQuest/UMI Publishing Agreement and Dissertation Submission Form: Publishing Your Graduate Work with UMI Dissertation Publishing, from ProQuest Information and Learning, contains the agreement and submission form plus some additional forms and explanatory material. Publishing with ProQuest/UMI is one of the requirements for receiving a doctoral degree from the University of Chicago. The ProQuest/UMI Publishing Agreement and Dissertation Submission Form on pages 3 and 4 should accompany your final copies. (You should also include two additional copies of your title page and two copies of a separate abstract with your final copies.) On page 3, select only one of the publication options, then sign and date the agreement. If you select an Open Access option, you must provide payment for the additional fee. You may choose to restrict search engine access and third party sales, but you may not choose an embargo. On page 4, you will need Guide 2: Subject Categories in order to complete the Dissertation Information section. If you choose to include pages 5 or 6, you must provide payment for these services. (Copyright registration is optional, as are orders for personal copies of your dissertation.) Postal Money Orders should be made payable to ProQuest Information and Learning. Please ensure that the form of payment you use will not expire in the 6 months following your submission!
   
   
3. Library Form: The Library Form should accompany your final copies. The information you provide will help the Library catalog your dissertation correctly. One copy of your dissertation becomes part of the Library's circulating collection.
   
   
4. Survey of Earned Doctorates: This online survey, conducted by the National Opinion Research Center for the National Science Foundation and other federal agencies, gathers data serving policymakers at the federal, state and local levels. Survey information is reported only in aggregate form or in a manner that does not identify information about any individual. For those who prefer hard copy to the web version, the form is also available as a PDF and in paper from the Dissertation Office. Data and presentations of the survey results are available from the National Opinion Research Center and the National Science Foundation. See their web sites, the survey brochure, and the confidentiality agreement for additional information.