College of Liberal Arts and Social Sciences Thesis Committee Appointment Record Name _____________________________________________________ Department _________________________ Student ID Number ____________________ Email _____________________________________ Research Topic _________________________________________________________________ It is requested that the following faculty members agree to serve on the Thesis Committee for the student named above. Committee Members (please print name on left line) _____________________________________________ ___________________________________________ Committee Chair Signature UHID number _________________________________ _____________________________________________ ___________________________________________ Committee Member Signature UHID number _________________________________ _____________________________________________ ____________________________________________ Committee Member Signature UHID number _________________________________ Approved: ___________________________________________________ _____________________________ Department Director of Graduate Studies Date ___________________________________________________ _____________________________ Department Chairperson Date ______________________________________________________________________ ________________________________________ Dean, College of Liberal Arts and Social Sciences Date