Revised 7/2017
N:\TGS\TGS-Shares\Departmental\Thesis_Dissertation\Forms\CommitteeApprovalForm2017-18.docxx
Approval of a Thesis, Dissertation, or Research Project Committee
Please submit this completed form to The Graduate School by the second week of the semester in which the student registers for dissertation, thesis,
or research credits.
Full Legal Name__________________________________________________________________________________________________
Student ID: ______________________________________ Email Address: _________________________________________________
Anticipated Date of Graduation: Month ________ Year _________
Program Major: __________________________________________ Concentration(s) (if any): ______________________________
Anticipated Degree: Au.D. D.M.A D.N.P Ph.D. Psy.D. Ed.S M.A. M.A./Ed.S. M.A.T.
M.B.A. M.Ed. M.F.A. M.M. M.O.T. M.P.A. M.P.A.S. M.S. M.S.Ed. M.S.N.
Project being completed: Research Project Thesis Dissertation Musical Arts Document Clinical Research Project
Brief Project Description: _________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
Adviser: ______________________________________________________________________________________________________
(Print name)
Each committee must consist of a chair and two other JMU graduate faculty members. Additional faculty may be included with the approval of the
dean of The Graduate School. If a recommended member of the committee is not a graduate faculty member, please indicate his/her area of
specialization and qualifications for inclusion. Attach additional sheets if necessary.
Committee Chair: _____________________________________________________ Academic Unit: ___________________________
(Print name)
Committee (print all names):
Name: ______________________________________________________________ Academic Unit: ___________________________
Graduate Faculty Member? Yes No _____________________________________________________________________
Name: ______________________________________________________________ Academic Unit: ___________________________
Graduate Faculty Member? Yes No _____________________________________________________________________
Name: ______________________________________________________________ Academic Unit: ___________________________
Graduate Faculty Member? Yes No _____________________________________________________________________
Name: ______________________________________________________________ Academic Unit: ___________________________
Graduate Faculty Member? Yes No _____________________________________________________________________
Name: ______________________________________________________________ Academic Unit: ___________________________
Graduate Faculty Member? Yes No _____________________________________________________________________
Provide the following signatures for Committee Approval:
_______________________________________ __________ ___________________________________________ ___________
Student Date Adviser Date
_______________________________________ __________ ___________________________________________ ____________
Thesis/Dissertation Chair Date Academic Unit Head Date
_______________________________________ __________ ___________________________________________ ____________
Program Director Date Dean of The Graduate School Date
