OFFICE OF GRADUATE STUDIES
SPACMNT
Ph.D. Dissertation Advisor(s) Designation Form
Updated DT 10/29/18
Ph.D. DISSERTATION ADVISOR(S)
DESIGNATION FORM
PhD students with a prior MS degree must choose their dissertation advisor(s) by the fourth semester in the program, at the
latest. Students without an MS degree must make the decision by the end of the fifth semester. (Different program
requirements may apply for PhD programs offered jointly with other universities.)
Last First
Name of Doctoral Candidate
Ph. D. Program
DISSERTATION COMMITTEE INFORMATION
Dissertation Advisor or Co-Advisors:
Name Department/Affiliation Rank
Print Signature
Print Signature
Doctoral Program Director
Print Name Signature Date
Department Chair
Print Name Signature Date
Graduate Studies
Print Name Signature Date
I.D. #
SHACOMI
SHATCMT
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