Approval of a Thesis, Dissertation, or Research Project Committee
Please submit this completed form to The Graduate School by the second week of the semester in which the student registers for dissertation, thesis,
or research credits.
Full Legal Name__________________________________________________________________________________________________
Student ID: ______________________________________ Email Address: _________________________________________________
Anticipated Date of Graduation: Month ________ Year _________
Program Major: __________________________________________
Concentration(s) (if any): ______________________________
Anticipated Degree: Au.D.
D.M.A
D.N.P
Ph.D.
Psy.D.
Ed.S
M.A.
M.A./Ed.S.
M.A.T.
M.B.A.
M.Ed.
M.F.A.
M.M.
M.O.T.
M.P.A. M.P.A.S.
M.S.
M.S.Ed.
M.S.N.
Research Project
Thesis
Dissertation
Other
Project being completed:
Brief Project Description: _________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
Adviser: ______________________________________________________________________________________________________
(Print name)
Each committee must consist of a chair and two other JMU graduate faculty members. Additional faculty may be included with the approval of the
dean of The Graduate School. If a recommended member of the committee is not a graduate faculty member, please indicate his/her area of
specialization and qualifications for inclusion. Attach additional sheets if necessary.
Committee Chair: ______________________________________________________ Academic Unit: ___________________________
(Print name)
Committee (
):
print all names
Name: _______________________________________________________________ Academic Unit: ___________________________
Graduate Faculty Member? Yes No _____________________________________________________________________
Name: _______________________________________________________________ Academic Unit: ___________________________
Graduate Faculty Member? Yes No _____________________________________________________________________
Name: _______________________________________________________________ Academic Unit: ___________________________
Graduate Faculty Member? Yes No _____________________________________________________________________
Name: _______________________________________________________________ Academic Unit: ___________________________
Graduate Faculty Member? Yes No _____________________________________________________________________
Name: _______________________________________________________________ Academic Unit: ___________________________
Graduate Faculty Member? Yes No _____________________________________________________________________
Provide the following signatures for Committee Approval:
_______________________________________ __________
___________________________________________ ___________
Student
Date
Adviser
Date
_______________________________________ __________
___________________________________________ ____________
Thesis/Dissertation Chair
Date
Academic Unit Head
Date
_______________________________________ __________
___________________________________________ ____________
Program Director
Date
Dean of The Graduate School
Date
Revised 8/2015
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