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MASTER’S STUDENT
COMMITTEE APPOINTMENT FORM
Student Name: ______________________________________ Student ID No. ________________________
Major Field of Study: _________________________________ Date: ________________________________
To: All Prospective Committee Members
Prior to the student’s final semester, the student, in consultation with the Graduate Program Director selects a committee consisting of
graduate faculty members from the School of Engineering. The composition of the committee will generally reflect the student’s area of
study and research.
1.
Committee Chair, Graduate Faculty Member of a
School of Engineering Program
Dept/Program
Signature
2.
Committee Member, Graduate Faculty Member of a
School of Engineering Program
Dept/Program
Signature
3.
Committee Member, Graduate Faculty Member of a
School of Engineering Program
Dept/Program
Signature
4.
Optional Member
Dept/Program
Signature
APPROVALS:
Printed Name Graduate Program Director Signature Date
Robert J. Wilkens, Ph.D., Associate Dean for Research & Innovation, Professor Date
Paul M. Vanderburgh, Ed.D., Associate Provost, Graduate Academic Affairs Date
10/16/18 Original GAA; Copies: Academic Department, Graduate Engineering, Committee Chair, Student