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 Ofce, 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
Ofce and the Ofce 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 Ofce 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 Ofce 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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