Graduate Center for Vision Research - Doctoral Student Handb

Dissertation Committee Form

This form should be submitted for the approval of the Associate Dean.

Student: ________________________________________________

Dissertation Area: _____________________________________

The following Graduate Faculty members have agreed to serve on my Dissertation Committee.

Dissertation Advisor (print): ________ ____________ (signature): _________________ C

ommittee Chairperson (print):__________________(signature):__________________ C

ommittee Member: (print): _____________________(signature):___________________

Committee Member:(print): ______________________(s ignature):___________________

Associate Dean’s Approval:

_________________________________Date:______________________

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