Alabama State University
THE HAROLD LLOYD MURPHY GRADUATE SCHOOL
P.O. Box 271
Montgomery, AL 36101
THESIS COMMITTEE MEMBERSHIP FORM
TO: Dean of The Murphy Graduate School
FROM: ________________________________________________(Name)
Dept. Chair/Graduate Program Coordinator
DATE: __________________________________________
The faculty members listed below meet the Murphy Graduate School’s requirements for
serving on a thesis committee and have agreed to serve for the student listed below:
_______________________________ _______________________________
Name of Student SID
Committee Members
____________________________ __________________________
Print Name Signature of Chair Date
____________________________ __________________________
Print Name Signature, Member Date
____________________________ __________________________
Print Name Signature, Member Date
____________________________ __________________________
Print Name Signature, Member Date
Approved:
_______________________________________________________________________
Dean, The Murphy Graduate School Date
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