.
Email:
Email: Email:
Email: Email:
Email: Email:
Specify Area:
Specify Area:
Appointment
Appointment
Recommended Denied Conditions (if any):
Graduate Academics
Signature
Date
Jose Ulerio, Operations Manager
Appointment Form Received.
Dissertation Adviser
Signature
Date
Specify Area:
Minor
Minor
STUDENTS: DO NOT WRITE BELOW THIS LINE
ADMINISTRATIVE ACTION:
Major
Minor
Member:
Specify Area:
Member:
Chairperson
Dissertation Adviser
Member:
I hereby request the appointment of the following guidance committee for the above named student
pursuing a PhD degree in
I agree to serve as chairperson, and have verified that the other proposed members have agreed to serve.
Member
Email Address
Telephone Number
Net ID
Academic Home Department
Academic Major
PROPOSED GUIDANCE COMMITTEE MEMBERS:
First Name
Last Name
Univ ID
Request for Appointment of PhD
Guidance Committee
Graduate Academics
INSTRUCTIONS:
This form is to be completed and sent to the Office of the Associate Dean for Graduate Academics (See Prof. Jose Ulerio in RH412A) by
the faculty member who has agreed to serve as chairperson of the guidance committee.
The Chairperson should also verify that other proposed members have agreed to serve.
STUDENT INFORMATION:
N
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