EAST TENNESSEE STATE UNIVERSITY
SCHOOL OF GRADUATE STUDIES
Dissertation Committee
Ph.D. DEGREE PROGRAM FOR ECED
NOTE: The student is responsible for scheduling a conference with the chair or doctoral coordinator of his/her
department to nominate an advisory committee. It is the responsibility of the student to present this
appointment form to the doctoral coordinator and to all committee members for signatures and to file this form
with the School of Graduate Studies.
REQUEST:
It is hereby requested that the following Dissertation Committee to be established for
(Print student’s name) E#
who is enrolled in the program.
DISSERTATION COMMITTEE
NAME (PRINT) E# SIGNATURES
E
E
E
E
E
Dissertation Committee Chair Dissertation Committee Chair
Date
I concur with the appointment of the above Dissertation Committee.
Signature of Student
Date
APPROVAL:
Doctoral Program Coordinator Date
Dean of Clemmer College of Education Date
Dean of Graduate Studies Date
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