Intent to Submit Thesis/Project
Student Name:______________________________________ Student ID #:________________________
Graduation Date:_________________________________
Thesis
Semester/Term Year
Project
Student Contact Information:
MyCSUDH Username:
E-mail Address (preferred):
Phone Number: ( )
Committee Information:
Department: ________________________________
___________________________________ _____________________________ ________________________________
Committee Chair (Print) Signature CSUDH Email
___________________________________ _____________________________ ________________________________
Committee Member (Print) Signature CSUDH Email
___________________________________ _____________________________ ________________________________
Committee Member (Print) Signature CSUDH Email
Program Coordinator Signature: ________________________________ Date:__________________
College Dean (or Designee) Signature: ____________________________ Date:__________________
Before submitting your Intent to Submit a Thesis/Project form, please ensure the following criteria have been
met or your thesis will not be accepted for review:
Student is currently enrolled at the University (Student Services screen in PeopleSoft)
Student has applied for graduation
Student is within 7-year time limit (outdated coursework has been validated)
Student has met Graduate Writing Assessment Requirement (GWAR)
Note: This form must be submitted to the Graduate Studies and Research office in Welch HallD445 by the Intent to
Submit a Thesis/Project form deadline, which can be found online at www.csudh.edu/gsr/graduate-
studies/thesis/deadlines/ and in the Thesis & Project Guide. The form may be hand delivered or mailed to the
Office of Graduate Studies and Research in Welch Hall D-445, or emailed to thesis@csudh.edu. Intent to Submit
forms received after the posted deadline will not be accepted.
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit