Request for Outside Dissertation Member form1

Request for Outside - Do you and the proposed member have any other relationship personal or professional_Yes_No If yes briefly describe Request

Info iconThis preview shows pages 1–2. Sign up to view the full content.

View Full Document Right Arrow Icon
Alliant International University CSPP-LA CLINICAL PhD PROGRAM Request for An Outside Dissertation Committee Member Complete all items and submit to your Dissertation Chair for approval. Student Name:   ___________________________________________________________ Dissertation Title: ___________________________________________________________ _______________________________________________________________________________ Name of Proposed Member: __________________________________________    Vita of proposed member must be attached to the form when submitting to your Chair . Description of Dissertation: Description of special expertise that outside member will bring to the committee:
Background image of page 1

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Background image of page 2
This is the end of the preview. Sign up to access the rest of the document.

Unformatted text preview: Do you and the proposed member have any other relationship, personal or professional? __Yes __No If yes, briefly describe: Request will not be approved and form will be returned to you for resubmission if vita is not attached and if any signatures are missing. Approvals : Student’s Signature: ______________________________________ Date: ________________ Chairperson’s Signature: __________________________________ Date: _________________ Please make a copy and submit original to Program office for recording. Office Use Only: Distribution : Original – Program Office / Copy - Chair...
View Full Document

This note was uploaded on 04/08/2010 for the course PSYCH 1 taught by Professor Admin during the Spring '10 term at American InterContinental University Los Angeles.

Page1 / 2

Request for Outside - Do you and the proposed member have any other relationship personal or professional_Yes_No If yes briefly describe Request

This preview shows document pages 1 - 2. Sign up to view the full document.

View Full Document Right Arrow Icon
Ask a homework question - tutors are online