Thesis/Dissertation Faculty Advisory Committtee Form

Student's Full Name: University ID:
Current Address:
Email Address:
Major:
Area of Concentration:
Degree:

COMMITTEE APPOINTMENTS: (please print & sign your name)

Chair_____________________________________________________Affiliation____________

__________________________________________________________Affiliation____________

ADD TO/OR REPLACE ON THE COMMITTEE: (Committee chair must notify committee, graduate coordinator,
and department chair of ALL changes.)

__________________________________________________________Affiliation____________

_________________________________ in place of _________________________________

Graduate Coordinator:______________________________________________________ Date:___________

Department Chair:_________________________________________________________ Date:___________

College Director of Graduate Studies:___________________________________________ Date:__________

Vice Provost for Graduate Programs:___________________________________________ Date:___________

4/16/08