ROSE-HULMAN INSTITUTE OF TECHNOLOGY
Request for Appointment of
Advisory Chairperson
Quarter/Year Admitted
to Graduate Program
Date
Graduate Major
Name
Advisory Chairperson:
be appointed
It is requested that
Advisory Chairperson for the student named above.
Requested by:
Student
Signature
Agreed to by:
Advisory Commitee
Chairperson Signature
Approved by:
Department Head
Signature
Acknowledged by:
Graduate Office
Student
Initials
Thesis/Project based
Course-based
Obtain the appropriate signatures and submit the final form to the Graduate Office.
The original will be maintained in the student's file and a copy will be sent to the chairperson.