Dissertation Proposal Evaluation Form

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* 1. Student’s Name:

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* 2. Chair's Name:

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* 3. Faculty Member’s Name:

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* 4. Faculty Member’s Role:

Chair

Committee

Reader

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* 5. Date of Proposal Hearing:

Date:

Date

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* 6. Date IRB Approved Study: (for Chair only)

Date:

Date

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* 7. Date of CITI Certification: (for Chair only)

Date:

Date

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* 8. Date Proposal Approval Expires (four years from today): (for Chair only)

Date:

Date

Instructions: All members of the dissertation committee (chair, committee members, and readers)
should complete this survey by the end of the proposal hearing.

NOTE: Ratings of “3” represent a student who is performing as would be expected and is on target.
Ratings of “4” or above should be reserved for a student who is doing better than expectable or is
excelling, while ratings below “3” indicate a need for concern.

QUALITY OF DOCUMENT

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* 9. The proposal conveys a clear picture of the problem to be studied.

1 (fails)

3 (meets)

5 (exceeds)

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 10. The proposal conveys the history of related conceptual and theoretical ideas in the literature review.

1 (fails)

3 (meets)

5 (exceeds)

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 11. The proposal conveys the history of research findings in the literature review.

1 (fails)

3 (meets)

5 (exceeds)

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 12. The proposal conveys the student’s understanding of the integration between psychodynamic theory and research.

1 (fails)

3 (meets)

5 (exceeds)

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 13. The proposal demonstrates the student’s ability to summarize theoretical and research perspectives related to the question under study

0 (fails)

3 (meets)

5 (exceeds)

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 14. The proposal demonstrates the student’s ability to convey research methodology.

1 (fails)

3 (meets)

5 (exceeds)

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 15. The proposal demonstrates the student’s ability to convey sampling (subject/participant recruitment) strategies.

1 (fails)

3 (meets)

5 (exceeds)

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 16. The proposal demonstrates the student’s understanding of threats to the study’s validity

0 (fails)

3 (meets)

5 (exceeds)

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 17. The proposal is a well written, coherent summary of the problem, question or hypothesis and methodology.

1 (fails)

3 (meets)

5 (Exceeds)

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 18. The proposal meets the Institute’s writing and style standards for the dissertation.

0 (fails)

3 (meets)

5 (exceeds)

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 19. Total Score for Quality of Document:

QUALITY OF ORAL PRESENTATION

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* 20. The student demonstrates the ability to verbally convey essential features of the study

1 (fails)

3 (meets)

5 (exceeds)

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 21. The student demonstrates the ability to specifically convey the problem being studied.

1 (fails)

3 (meets)

5 (exceeds)

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 22. The student demonstrates the ability to specifically convey the question or hypothesis being studied.

1 (fails)

3 (meets)

5 (exceeds)

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 23. The student demonstrates the ability to locate the problem/question/hypothesis and value of the research in the literature.

0 (fails)

3 (meets)

5 (exceeds)

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 24. The student’s verbal presentation, in conjunction with the written proposal, leads to a meaningful discussion with the committee.

1 (fails)

3 (meets)

5 (exceeds)

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 25. The student responds openly and thoughtfully to the committee’s questions and feedback.

1 (fails)

3 (meets)

5 (exceeds)

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 26. Total Score for Quality of Oral Presentation:

ETHICAL CONSIDERATIONS

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* 27. The student demonstrates the ability to identify potential risks to human subjects.

1 (fails)

3 (meets)

5 (exceeds)

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 28. The student demonstrates the ability to convey the scope of study and risks to participants in the Consent Forms.

1 (fails)

3 (meets)

5 (exceeds)

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 29. The student demonstrates the ability to construct an acceptable IRB application.

1 (fails)

3 (meets)

5 (exceeds)

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 30. The student demonstrates a general respect for and awareness of human subjects.

1 (fails)

3 (meets)

5 (exceeds)

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 31. Total Score for Ethical Considerations:

ADDITIONAL COMMENTS AND OVERALL SCORE

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* 32. Note any problems in learning that need to be addressed prior to final approval of the dissertation. Comment:

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* 33. Overall Score (subtotal of all scored domains above):

Score Interpretation:
Below 60 = significant practicum concerns exist and should be reported to the Practicum Chair
60 – 80 = meeting expectations, on target, progressing as expected
Above 80 = exceptional, beyond expectations

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* 34. Decision

Pass

Conditional Pass

Fail

Dissertation Proposal Evaluation Form

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* 1. Student’s Name:

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* 2. Chair's Name:

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* 3. Faculty Member’s Name:

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* 4. Faculty Member’s Role:

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* 5. Date of Proposal Hearing:

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* 6. Date IRB Approved Study: (for Chair only)

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* 7. Date of CITI Certification: (for Chair only)

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* 8. Date Proposal Approval Expires (four years from today): (for Chair only)

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* 9. The proposal conveys a clear picture of the problem to be studied.

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* 10. The proposal conveys the history of related conceptual and theoretical ideas in the literature review.

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* 11. The proposal conveys the history of research findings in the literature review.

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* 12. The proposal conveys the student’s understanding of the integration between psychodynamic theory and research.

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* 13. The proposal demonstrates the student’s ability to summarize theoretical and research perspectives related to the question under study

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* 14. The proposal demonstrates the student’s ability to convey research methodology.

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* 15. The proposal demonstrates the student’s ability to convey sampling (subject/participant recruitment) strategies.

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* 16. The proposal demonstrates the student’s understanding of threats to the study’s validity

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* 17. The proposal is a well written, coherent summary of the problem, question or hypothesis and methodology.

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* 18. The proposal meets the Institute’s writing and style standards for the dissertation.

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* 19. Total Score for Quality of Document:

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* 20. The student demonstrates the ability to verbally convey essential features of the study

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* 21. The student demonstrates the ability to specifically convey the problem being studied.

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* 22. The student demonstrates the ability to specifically convey the question or hypothesis being studied.

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* 23. The student demonstrates the ability to locate the problem/question/hypothesis and value of the research in the literature.

Question Title

* 24. The student’s verbal presentation, in conjunction with the written proposal, leads to a meaningful discussion with the committee.

Question Title

* 25. The student responds openly and thoughtfully to the committee’s questions and feedback.

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* 26. Total Score for Quality of Oral Presentation:

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* 27. The student demonstrates the ability to identify potential risks to human subjects.

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* 28. The student demonstrates the ability to convey the scope of study and risks to participants in the Consent Forms.

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* 29. The student demonstrates the ability to construct an acceptable IRB application.

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* 30. The student demonstrates a general respect for and awareness of human subjects.

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* 31. Total Score for Ethical Considerations:

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* 32. Note any problems in learning that need to be addressed prior to final approval of the dissertation. Comment:

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* 33. Overall Score (subtotal of all scored domains above):

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* 34. Decision

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* 35. Recommendations for Passing Student:

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* 36. Recommendations for Conditional Passing Student:

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* 37. If Conditional Pass, what are the conditions? (to be filled out by chair only)

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* 38. Recommendations for Failing Student:

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* 39. Faculty Electronic Signature (please type out your name):