Major
Title
Course
Number
Credit Grade
Equiv. TTU
Course No.
Background Courses
Primary Area Courses
Related Area Courses
Research & Dissertation (24 Hour Minimum)
APPROVED ADVISORY COMMITTEE:
date Chairperson
date Member
date Member
date Member date
date Member
Brief Description of Proposed Research
Other Requirements (Enter here any 7000 level courses taken for M.S. that are to be counted for the
Ph.D. requirement)
TOTAL Semester Hours Credit To Be Counted Toward Degree
Associate Dean, College of Engineering
date
Departmental Chairperson
Total Hours: 7000 level 6000 level
* Enter courses in following order:
1. Background courses--Include background
courses taken at the Masters level
2. Primary Area courses
3. Related Area courses
4. Research & Dissertation Courses
**Enter name of university where courses were taken
COURSES*
ENGINEERING PH.D.
PROPOSED PROGRAM OF STUDY
Date
Completed
or To Be
Completed
T. No.
Name
Transfer From**
Do you anticipate using Human Subjects in your research? YES NO
If yes, IRB approval is required one semester prior to graduation. Contact your advisor for more information.
date Member
date Member date
Office of Graduate Studies
8 years expires end of _________ ____________
(term) (year)
Final GPA:_________
HANDWRITTEN FORMS WILL NOT BE ACCEPTED
Appointment of Advisory Committee
I hereby request that the following members of the Graduate Faculty be appointed to serve on my Graduate Advisory
Committee:
Name (please type in committee names)
________________________________________________________________
Chairperson
________________________________________________________________
Member
________________________________________________________________
Member
________________________________________________________________
Member
________________________________________________________________
Member
________________________________________________________________
Member
________________________________________________________________
Member
Student’s Signature _______________________________________________________ Date ________________________
Student T No. ____________________________________________________
Approved ____________________________________________________________________________________________
Departmental Chairperson
date
Approved ____________________________________________________________________________________________
Associate Dean/Director for Doctoral Programs
date
Approved ____________________________________________________________________________________________
College of Graduate Studies Designee
date