Submission of Thesis or Dissertation Proposal
Date:
Department:
Student ID Number:
Student Name:
College:
Degree:
Thesis Advisor:
Thesis/Dissertation Title:
ID Number:
The thesis or dissertation proposal is led with the advisor and the College Dean’s Ofce, but is not part of the nal research
document. A copy of the Request for Thesis or Dissertation Proposal Approval form will be led with the College Dean’s
Ofce and the Ofce of Admissions, Records and Registration. If approval of the IRB or IACUC is required, the IRB or
IACUC application must be submitted with this form and the complete thesis/dissertation proposal to the Ofce of Research
and Technology Transfer. Otherwise, only a copy of this completed form should be sent.
Graduate Program
Director Signature:
Chair Signature:
Dean Signature:
Form must be submitted to the Ofce of Admissions, Records and Registration after electronic signatures are completed.
Please ensure any relevant additional documentation is attached to the generated email.
Human Use Committee (IRB)
approval (if required):
Animal Use Committee (IACUC)
approval (if required):
Chair:
Member:
Member:
Member:
Member:
Member:
Member:
Member:
Thesis/Dissertation Proposal Approved:
11-2017
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