Fillable ESTABLISHMENT OF MASTERS OR SPECIALIST COMMITTEE (Florida Institute of Technology)

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ESTABLISHMENT OF MASTERS OR SPECIALIST COMMITTEE (Florida Institute of Technology)

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NAME __________________________________________________________________________________  DATE _____________________________________________
Last First Middle
FIELD OF STUDY _________________________________________________________________________  STUDENT ID NO. ___________________________________
DEGREE PROGRAM ______________________________________________________________________  MAJOR CODE ____________________________________
OPTION (select one) o Thesis o Nonthesis
TITLE OF THESIS ___________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________________
ESTABLISHMENT OF MASTER’S OR SPECIALIST COMMITTEE
Major Adviser ____________________________________  Academic Unit_________________________ Signature ________________________________________
Type / Print Clearly
Outside Member __________________________________  Academic Unit_________________________ Signature ________________________________________
Type / Print Clearly
Other Member ___________________________________  Academic Unit_________________________ Signature ________________________________________
Type / Print Clearly
Other Member ___________________________________  Academic Unit_________________________ Signature ________________________________________
Type / Print Clearly
Other Member ___________________________________  Academic Unit_________________________ Signature ________________________________________
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RGR-481-0220
As required by graduate policy (1.5 -1.5.3), the following advisory committee is established for the student named on this form.
COMMITTEE MEMBER NAME COMMITTEE MEMBER DEPARTMENT COMMITTEE MEMBER SIGNATURE
APPROVALS / CONFIRMATION
APPROVED ______________________________________________________________________________ DATE ____________________________________________
Academic Unit Head
Document Reviewed ______________________________________________________________________ DATE ____________________________________________
Oce of Graduate Programs
APPROVED ______________________________________________________________________________ DATE ____________________________________________
Director, Graduate Programs
STUDENT SIGNATURE ___________________________________________________________________ DATE _____________________________________________
Florida Institute of Technology § Oce of Graduate Programs § 150 West University Boulevard, Melbourne, FL 32901-6975 § 321-674-8137
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ESTABLISHMENT OF MASTERS OR SPECIALIST COMMITTEE (Florida Institute of Technology)

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Completed 29 January 2021

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