Advisory Committee (Please print or type) Signatures
Student’s Name: Banner ID: U___________________
Current Mailing Address:
E-Mail Address: Telephone No.
Major: Concentration:
Degree:
215 Administration Building
Memphis, TN 38152
Phone: (901) 678-2531
FAX: (901) 678-0378
THE GRADUATE SCHOOL
A Tennessee Board of Regents Institution
An Equal Opportunity/Affirmative Action University
THESIS OR DISSERTATION PROPOSAL DEFENSE
Please type or print. When all signatures have been obtained, return original to the Graduate
School and retain a copy for the student’s file. If animal or human subjects will be used,
approval must be obtained before ANY research is undertaken.
The above student successfully defended his/her thesis/dissertation proposal on:
The tentative thesis/dissertation title is:
College Director of Graduate Studies College Director of Graduate Studies
Chair, Advisory Committee Chair, Advisory Committee
Committee Member Committee Member
Committee Member Committee Member
Committee Member Committee Member
Committee Member Committee Member
Revised 11/11/09
Today’s Date:
Necessary human subjects___ or animal use___ approval (check one) has been obtained
Attach copy of approval letter. Protocol Number: _____________________
The University of Memphis