Fill - Free fillable Southern Utah University - Graduate Studies Thesis Approval Form PDF form

GraduateStudiesThesisApprovalForm

Formrevised05/26/2011

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ThisformservesastheofficialrecordofthegraduatethesissubmissiontotheRegistrar’sOfficeandmustbesubmittedbeforethe

graduatedegreemaybeawarded.Pleaseprintallinformationclearly.

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Author’sFullName:____________________________________________________________________

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TNumber:___________________________________ GraduationDate(mo/yr):_________________

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DegreeType(pleasecheck): MA MS MEd MBA MAcc MFA MPA

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NameofDepartmentorCollege:__________________________________________________________

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GraduateProgram:_________________________________________________________________ ____

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ThesisTitle:___________________________________________________________________________

_____________________________________________________________________________________

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StudentAgreement:

1.Iherebycertifythat,ifappropriate,Ihaveobtainedpermissionstatementsofeachthird‐partycopyrightholder.

2.Icertifythat,ifappropriate,Ihavesubmittedthesamefinalcopyofrelevantdocumentsapprovedbymycommittee.

3.Ifselectedbelow,IherebygrantSUUthenon‐exclusivelicensetoarchiveandmakeaccessiblemythesis,portfolio,project,orother

relevantdocumentsinallformsofmedia.Iretainallotherownershiprightstotherelevantmaterials.Ialsoretaintherighttousein

futureworks(suchasbooksorarticles)allorpartofmythesisorotherrelevantdocuments.

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StudentandCommitteeAgreement(selectoneofthefollowing)

___1.Releasetheentireworkimmediatelyforaccessworldwide.

___2.Securetheentireworkforproprietarypurposesforaperiodofoneyear.Attheendofoneyear,theworkwillbehandledunder

option1above.

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ReviewandAcceptance:Theaforementioneddocumentshavebeenreviewedandapprovedbythestudent’s

supervisorycommittee.Theundersignedagreetoabidebythestatementsabove,andconfirmthatthisApprovalForm

servesastheCertificateofApprovalforthethesis,includinganyabstractsenclosedwithin.

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CourseGrade:AfinalgrademustbesubmittedtotheRegistrar’sOffice.AfacultymembermaypickupaChangeof

GradeformfromtheRegistrar’sOfficebypresentingpictureID.Oncetheformiscompleted,pleasereturnittothe

Registrar’sOfficeforimmediateprocessing.Theformmustnotbedeliveredby

studentsorstudentworkers.Theymay

besentbycampusmail.

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Student:

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__________________________________ ________________________________ _________

PrintedStudentNameStudentSignatureDate

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ChairName:

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__________________________________ ________________________________ _________

PrintedCommitteeChairNameCommitteeChairSignatureDate

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GraduateProgramDirector:

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__________________________________ ________________________________ _________

PrintedGraduateProgramDirectorName  GraduateProgramDirectorSignature  Date

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GraduateDean:

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__________________________________ ________________________________ _________

PrintedGraduateDeanNameGraduateDeanSignatureDate

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Fillable Southern Utah University - Graduate Studies Thesis Approval Form

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