Thesis Committee Request Form

Thesis Committee Request Form — Form Fields

This education template includes 12 fields. Request formation or changes to your thesis or dissertation advisory committee. Free to customize and use on ZenBuild.

• Student Name (text, required)
• Student Email (email, required)
• Student ID (text, required)
• Program and Department (text, required)
• Degree Level (dropdown selection, required) — options: Master's, Doctoral
• Thesis / Dissertation Title (text, required)
• Proposed Committee Chair Name (text, required)
• Proposed Member 2 Name (text, required)
• Proposed Member 3 Name (text, optional)
• Proposed Member 4 (External) (text, optional)
• Brief Research Description (long text, required)
• Expected Defense Date (text, optional)