Summary: Send original to the Graduate Division. After approval, a copy will be returned to the dept (REV. 8/09)
NOMINATION OF THESIS COMMITTEE
FOR MASTER'S DEGREE CANDIDATES
NOTE: All students must also complete page 3, the Conflict of Interest form
Student Name _________________________________________ Perm _______________
Last First Middle
Master's Objective: MA MS MEd MESM MM MFA
The following faculty members have been nominated to serve on the thesis committee of the
above named student. Two members of the committee are from the student's major department.
The third member may be from outside the major department.
Chairperson, Thesis Committee