This form is required of all students submitting a thesi
dissertation.
This request must be submitted with the request for a
LSU Graduate School
ETD logon id
OR within five days of receiving your logon and passwo
Your final ETD document will not be approved without
Thesis/Dissertation Access Request
this
form.
Name:
LSUID:
Email:
Major:
(Use a permanent email address; be sure to keep your email address current with The Graduate School. Email: gradetd@lsu.edu)
Date of Graduation:
Degree:
MP’s Email:
Major Professor:
I hereby request that my thesis/dissertation (
):
Check one
(
Be released to the general public on approval (default selection).
Student signature only
)
required below
Be restricted to LSU campus viewing only for 365 days from the date of its approval by the
(
)
Graduate School.
Student and Major Professor signatures required below
(
Be completely restricted from all public access, for a period of (Select one):
Student and Major
)
Professor signatures required below
365 days from approval by the Graduate School
Other (Attach detailed explanation.) Restrictions for longer than one year
require Graduate
Council approval.
Renewal request (submit for extension of original restricted period; student and Major Professor
signatures required.) Provide detailed explanation for extension and attach any materials that support
your request. May require Graduate Council approval.
student signature
date
major professor signature
date
Graduate School Action:
Approved: ___________________________
Comment Added: ________________________
Disapproved: __________________________ Student notified: _________________________
Editor: document P(
) L
W
____________________ Date: ______________
public
(LSU only)
(withheld)
92014