Application for the Formation of PhD Committee
Application for the Formation of PhD Committee
| Name | _______________________________________________ |
| Last First MI | |
| Date | _______________________ |
| Address | _______________________________________________ |
| ID | _______________ |
| __________________________________________________________ | |
| Reearch Areas [1] |
__________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ |
APPROVALS [2]
| Candidate's Signature : | _______________________________ | Date | _______________ |
| Supervising Committee | |||
|---|---|---|---|
| Signatures | Typed Name | Date | |
| Supervising Professor [3] | ________________________ | __________________________ | __________ |
| Member | ________________________ | __________________________ | __________ |
| Member | ________________________ | __________________________ | __________ |
| Member | ________________________ | __________________________ | __________ |
| Member | ________________________ | __________________________ | __________ |
| Member | ________________________ | __________________________ | __________ |
| ________________________ | __________ | ________________________ | __________ |
| Committee on Graduate Studies | Date | Graduate Advisor | Date |
| ________________________ | __________ | ||
| Chairman | Date | ||
[1] List at least five topics/subjects in Computer Science or other Field that are relevant to your research interests
[2] By signing this form a committee member agrees to serve on the PhD student's Dissertation Committee. The student is expected to discuss his/her interests and committee member responsibilities with the member when seeking approval.
[3] If you have a co-supervisor then underline his/her name.