Ph.D.
in Electrical Engineering
Dissertation Committee Approval Form
_________________________ __________________________ ____________________
Last Name First Name, Middle Name UID
I request approval of the following committee:
New
__________________________________________________
Student Signature Date Modification
(The following signatures indicate agreement to serve on this student’s committee. Minimum of 5 required)
Dissertation Director ______________________________ ______________________________ _____________
Name Signature Date
Committee Member ______________________________ ______________________________ _____________
Name Signature Date
Committee Member ______________________________ ______________________________ _____________
Name Signature Date
Committee Member ______________________________ ______________________________ _____________
Name Signature Date
Committee Member ______________________________ ______________________________ _____________
Name Signature Date
Committee Member ______________________________ ______________________________ _____________
Name Signature Date
Approval of Dissertation Committee
Department Chair ______________________________ _______________________________ ______________
Signature Date
Program Director ______________________________ _______________________________ ______________
Signature Date
Dean, CECS ______________________________ _______________________________ ______________
Signature Date
Dean, College of Graduate ______________________________ _______________________________ ______________
And Honors Programs Signature Date