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Forms - Doctoral Program in Instructional Technology and Leadership

Below are some useful forms, downloadable using Adobe Reader.  If you are unable to download the files or have a request for a form that is not provided, please contact Saundra Bondo, Program Assistant at bondo@duq.edu or 412.396.1995.

Graduate School Online Application

An applicant for admission to the program must have graduated from an approved college or university and must provide evidence of fitness for advanced study as shown by scholastic records, training, and experience. Complete transcripts from each institution attended must be forwarded to and will become the property of the School of Education.

Office of Graduate Admissions and Advisement
214 Canevin Hall
Duquesne University
Pittsburgh PA 15282

Application for Academic Degree

Application for graduation and commencement is valid for one term only.  Check the Academic Calendar for deadlines.  Log on to DORI and use the Self-Service Banner to apply for graduation. You may also submit the paper application provided by the above link to:

Doctoral Program in Instructional Technology and Leadership
Duquesne University
327 Fisher Hall
600 Forbes Ave
Pittsburgh PA 15282

SR-1 Registration Form

To register for courses, log onto DORI and use the Self-Service Banner.  You may also complete the paper form provided at the above link. List all course selections using the appropriate semester schedule.  Include relevant personal information and email the signed form to your advisor for approval, fax the form to 412.396.1997, or mail it to:

Doctoral Program in Instructional Technology and Leadership
Duquesne University
327 Fisher Hall
600 Forbes Ave
Pittsburgh PA 15282

Add or Drop a Course

To add or drop a course within the deadline period specified in the Academic Calendar, log onto DORI and use the Self-Service Banner. The form to add or drop a course is also available at the above link.  This request must be signed by you, your advisor, and the course instructor.  It is the student's responsibility to ensure they meet deadline dates to receive tuition refund. Return the completed form directly to:

Doctoral Program in Instructional Technology and Leadership
Duquesne University
327 Fisher Hall
600 Forbes Ave
Pittsburgh PA 15282
or Fax to your advisor at 412.396.1997.

Independent Study Approval Form

GILT 509 (Independent Study) students who elect to register for the Instructional Technology Independent Study must obtain the consent of a faculty member to sponsor the experience. Students must also register for the respective course.

Complete this form and secure your instructor's signature within three weeks of registration. Submit the form with a copy of your Independent Study Proposal for approval. Failure to submit this information may results in cancellation of the independent study.  In addition, the Title provided on the form will be annotated on your transcripts to provide a more definitive description of your efforts.

Catholic School Teacher Discount Form

Requesting a Catholic School Teacher Tuition Discount. This form must be submitted annually (starting each summer semester) to request a Catholic School teacher tuition discount. Students from the Dioceses of Pittsburgh, Greensburg, and Altoona-Johnstown are eligible for this discount. Failure to complete this form in a timely manner could result in excess financial obligations.  This form must be accompanied by a letter of verification on official school letterhead and is due at the start of the summer semester every year you are in the program.  Complete all elements of this form and submit directly to:

Financial Aid Office
Duquesne University
600 Forbes Avenue
Pittsburgh PA 15282-0299

Contract for Completion of Incomplete Grade

This contract must be completed and signed by the student and course instructor.

Request for Research Travel Funds

This form is used to obtain approval prior to travel for student research.  This form must be submitted at least 3 - 4 weeks prior to travel. 

PCHE Cross Registration

The above link contains information, instructions, and relevant forms for cross-registering for courses from a Pittsburgh Council on Higher Education (PCHE) University.