LSU | Graduate School
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Updated 1/2019
Request for Remote Participation on Graduate Committees
Email submission to gradsvcs@lsu.edu.
Student Information
Today’s Date:
LSU Student ID:
Name:
Department:
Date of Exam: Time of Exam:
Location of Exam:
Remote Co
mmittee Member’s Information
Name: Email Address:
In
stitution:
Reason for Remote Participation Request:
Commit
tee Approvals:
In lieu of physical signatures, emailed statements of approval can be attached. “See email” should be written in the
signature field.
Committe
e Chair
(or co-chair):
Committee Member
(or co-chair):
Committee Member:
Committee Member:
Committee Member:
Dean of the Graduate School: