Request for Remote Participation in Graduate Committees
Uate 4/27/17
Student’s Information
Name:
Department:
Date of Exam:
Location of Exam:
Today's Date:
LSU ID:
Time of Exam:
Email Address:
Committee Member's Information
Name:
Institution:
Committee Approvals
In lieu of physical signatures, emailed statements of approval can be attached. "See email" should be written in the signature field.
Reason for remote participation request:
Committee Chair (or co-chair)
Committee Member (or co-chair)
Committee Member
Committee Member
Committee Member
(Chair's or student's information for extraordinary circumstances)