The University of Memphis
Thesis/Dissertation Proposal Defense Form

Student's Full Legal Name:   
University Banner ID:  U
Current Mailing Address: 
E-mail Address: 
Major: 
Area of Concentration: 
Degree: 

The above student successfully defended his/her thesis/dissertation proposal on:

The tentative thesis/dissertation title is:

Necessary human subjects or animal use approval has been obtained. Yes No

Indicate which type:  Protocol Number:   
(Attach copy of approval to this form).

Advisory Committee Approvals: (Please print or type) Signatures


Chair, Advisory Committee

___________________________________________
Chair, Advisory Committee


Committee Member

____________________________________________
Committee Member

Committee Member

____________________________________________
Committee Member


Committee Member

____________________________________________
Committee Member


Committee Member

____________________________________________
Committee Member


Committee Member

____________________________________________
Committee Member


College Director of Graduate Studies

____________________________________________
College Director of Graduate Studies
Last Updated: 1/24/13