DEPARTMENT OF THEATRE AND DANCE
THESIS OR DISSERTATION ADVISORY COMMITTEE MEMBERSHIP FORM
INSTRUCTIONS: Upon agreeing to serve or step down from the advisory committee of a student,
the faculty member should fill out the appropriate half of this document and give it to the student.
After collecting ALL committee members’ signatures, the student will submit the entire packet to the
Graduate Advisor.
ADD:
__________________
Date
I hereby authorize the Graduate Advisor to ADD me to the advisory committee of
__________________________ as __________
___________[check one].
Student
Chair
Member
______________________________
Signature of faculty member
______________________________
Printed Name
OR
DELETE:
__________________
Date
I hereby authorize the Graduate Advisor to REMOVE me from the advisory committee
of __________________________ .
______________________________
Signature of faculty member
_______________________________
Printed Name