Name:!
LSU ID#:
Major:!
Minor:!
"
Degree Sought: Master of _____________!
"""
(science, arts, etc.)
REQUEST FOR MASTER'S EXAMINATION & DEGREE AUDIT
Masters Examination Information!
"
Exam Date/Time:!
Place/Room:"
"
Check: Thesis Non-Thesis"
"
If “thesis,” state title:"
Committee Chair: ________________________________!
Committee Member: _______________________________!
"
Committee Member: _______________________________"
"
Committee Member: _______________________________"
"
Signature of Major Prof: ____________________________"
"
Signature of Grad. Advisor!
or Dept. Chair:"" __________________________
"
List all LSU graduate courses and hours required towards this degree (Example: CHEM 7090
(3), etc.)"
1. Coursework earned in Major
Field:"
2. Coursework earned in Minor Field IF you have declared a formal minor:!
3
. Transferred or Petitioned Credits (and institution):"
4
. Courses remaining: "
"
"
"
"
"
"
"
"
"
" " " " " " " " Total Hours Completed: ____
FOR OFFICE USE ONLY !
"
GPA:! !
"
MINOR:"
"
TIME:"
REG:"
COM:"
CW: !
"
DEAN SIG:"
Updated: 12/14/15