Office of the Registrar / 200 West Kawili St. Hilo, HI 96720-4091 / Student Services Center, First Floor Rm E-101 / Phone: (808) 932-7447 / Fax: (808) 932-7448 / E-mail: uhhro@hawaii.edu
• Form must be submitted by all graduate level students
• Form to be submitted prior to declaration of program track (thesis or non-thesis dissertation)
• Signatures of committee members acknowledge that:
o Committees must meet with the student at a minimum of once a year
o It is the responsibility of the student to arrange the meeting
o Committee members are responsible for providing advice to the student, reading and commenting on the thesis,
research papers, dissertations and/or examinations as required for the student’s degree program, and approving the
student’s work in the completion of degree requirements
• In programs that do not utilize a committee system, only the signatures of the primary advisor and program chair are
required
SECTION I: Student Information:
Name: Email: @hawaii.edu
Graduate Program: Plan: Thesis Non-Thesis
Student signature: Date:
SECTION II: Obtain Committee Signatures
Primary Advisor name:
Primary Advisor Signature: Date:
Committee Member:
Committee Member Signature: Date:
Committee Member:
Committee Member Signature: Date:
Committee Member:
Committee Member Signature: Date:
Committee Member:
Committee Member Signature: Date:
SECTION III: Obtain Approving Signatures
Graduate Program Chair name: _________ Signature: __ ___ Date: ______
SECTION IV: Submit ORIGINAL completed form to the Graduate Division
FOR GRAD DIVISION OFFICE USE ONLY: ☐ SPACMNT ☐ STAR Date: Initials:
FOR REGISTRAR OFFICE USE ONLY: ☐ SGAADVR Date: Initials: Rev 09/2018 sw
Form 1: Graduate Committee Formation
(For Graduate Degrees)
